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<br />Revised 06/21 <br /> <br />10 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Duffield Aquatics, Inc. Party/Vendor Contact Person: Mike Gibbons (mgibbons@duffieldaquatics.com) <br />Contact Phone: 888-669-7551 Party/Vendor Address: 113 Metro Drive City Anderson State: SC Zip: 29625 Department: <br />AMS/Splex Amount: $8,728.00 Purpose: Splex - UV Materials for the two pools Budget Code(s): 54540030 800000 Vendor <br /># 67268 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal <br /> Amendment Effective Date 9/13/2021 Approved by Board Yes No Agenda Date: --- For Section XIV. c. <br />contracts only, Approved by Board in Current FY Budget Yes No <br /> <br />This agreement is approved as to technical fo rm and content and I as Department Director affirmatively state work on this <br />project has not been initiated prior to execution of the agreement: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br />already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br />DocuSign Envelope ID: CAA22E5C-E81B-4762-B1C7-1A5E705B45D2 <br />9/21/2021 <br />9/22/2021 <br />9/23/2021 <br />9/23/2021