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DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Brown Brothers Plumbing & Heating Co., Inc. Party/Vendor Contact Person: Jeff Addison <br /> (ieffa@bbph.com) Contact Phone: 919.220.2554 Party/Vendor Address: PO Box 15668 City Durham State:NC Zip: <br /> 27704-0668 Department: AMS Amount: $1630.00 Purpose: Little River Park - Install heater in well house Budget <br /> Code(s): 61370035-800000-30001 Vendor#35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 12/20/2021 Approved by Board <br /> Yes❑ No® Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget <br /> Yes[—]No® <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 Sfcw 4Ykdt Date:1/17/2022 <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: NA <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 /> Date:Office of the Risk Management Office Ea f� ffc 1/18/2022 <br /> �, <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial OfficerEs Ate— Date:1/20/2022 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney C,u t Rgri, Date: <br /> 1/20/2022 <br /> ,�ooFoa�Fs. <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 06/21 4 <br />