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DocuSign Envelope ID:OE71AC55-698C-4D9A-B848-92OF1816167B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: ECS Southeast, LLP Party/Vendor Contact Person: Tina Stewart Contact Phone: 336.856.7150 <br /> Party/Vendor Address: 4811 Koger Blvd City Greensboro State: NC Zip: 27407 Department: AMS Amount: <br /> $2,150.00 Purpose: Court Street Annex-Asbestos Assessment for 2°d Floor Budget Code(s): 61370035-880000-10004 <br /> Vendor#46914 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 12/8/2020 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature l'&W,RnIA Date: 12/4/2020 <br /> zeexeeeei�aw_. <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: N/A <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> —Sig—by: <br /> Office of the Risk Management OfficeCAE Date:12/4/2020 <br /> ]FDDF91]SB0peS8... <br /> Financial Services <br /> DS This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> P( D Sig—by: <br /> Office of the Chief Financial Officer1 0 Date: 12/8/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D SISDetl Dy: <br /> Office of the County Attorney��° 'w Date:12/8/2020 <br /> 9VSF�CDDFDBBEFp.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 07/20 4 <br />