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<br />Revised 06/21 <br /> <br />10 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: C.T. Wilson Construction Co. Inc Party/Vendor Contact Person: James Taylor <br />(james.taylor@ctwilson.com) Contact Phone: 919.383.2535 Party/Vendor Address: 150 Golden Drive, Suite 200 City <br />Durham State: NC Zip: 27703 Department: AMS/HD Amount: $35,168.00 Purpose: Whitted Health Department - Install <br />Transaction Window in Lobby to match existing. Budget Code(s): 61370035-892000-30012 Vendor # 64422 (N/A if new <br />vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment <br />Effective Date 6/10/2022 Approved by Board Yes No Agenda Date: --- For Section XIV. c. contracts only, <br />Approved by Board in Current FY Budget Yes No <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br />project has not been initiated prior to execution of the a greement: <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: D8F05FF1-64DE-400B-A25C-CEA49A00D74D <br />5/31/2022 <br />5/31/2022 <br />6/4/2022 <br />6/4/2022