2022-588-E-AMS-Siemens Industry-West Campus office building replace starters per proposal

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DocuSign Envelope ID:35268017-1`115-48D8-A28D-710EODC69AO9 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Siemens Industry, Inc Party/Vendor Contact Person: Joe Latore (joseph.latore(a)siemens.com) Contact Phone: 919.469.5095 Party/Vendor Address: 215 Southport Drive, Ste 900 City Morrisville State: NC Zip: 27560 Department: AMS Amount: $9126.00 Purpose: West Campus Office Building - Replace Starters per proposal JAL2210002 Budget Code(s): 61370035-800000-30018 Vendor# 53325 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 11/4/2022 Approved by Board Yes ❑No® Agenda Date: ---For Section XIV.c. contracts only,Approved by Board in Current FY Budget Yes®No[—] This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director's Signature C S Date:11/9/2022 Agreements for emergency services orzoo�oa�,repa'sir are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: n/a Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: Office of the Risk Management Office aE ^ Date:11/9/2022 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: k.V ° "d4: 11/9/2022 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney 5S Nuviw —Date:11/9/2022 Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 06/21 10