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Revised 04/23 <br />1 <br />ORANGE COUNTY—INTERNAL USE ONLY <br />______________________________________________________________________________ <br />Finance Information <br />Vendor Name: Orange Grove Fire Department Vendor Contact Person: Chief Ricky Baker Phone: (919) 967- <br />5858 Address: 6800 Orange Grove Rd City Hillsborough State: NC Zip: 27278 Department: Emergency Services <br />Amount: $9,000.00 Annually Purpose: EMS substation collated with fire department Budget Code(s): 1077520- <br />630000 Vendor # 50212 <br />Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No <br /> <br />Contract Details <br />Contract Type: New Amendment (Original Contract: 9/17/2013) (Most Recent Amendment <br />7/1/2019) <br />Effective Date 7/1/2023 End Date 6/30/2026 Notice Date (Notice Purpose ) <br /> <br />Award <br /> Approved by Board (Agenda Date: ); Made or Administered by <br /> <br />Signature Authority <br />- BOCC Express Delegation (Agenda Date: ) <br />- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 <br />- Budget Policy Section XV (Capital Improvement Project: ) <br /> <br />Bidding <br /> Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) <br />Department Affirmation <br /> This agreement is approved as to technical form and content and I as Department Director affi rmatively state <br />work on this project has not been initiated prio r to execution of the agreement. <br /> Services related to this agreement have already begun or been completed. Description of the nature of the <br />emergency condition that was addressed: Continuation of EMS Co-location agreement, this is an updated <br />agreement. <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br />Information Technologies <br />This agreement has been reviewed and is approved as to information technology content and specifications: <br /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> Inapplicable because no hardware/software purchases or related services <br /> <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br />All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov <br />DocuSign Envelope ID: E9D3A6CD-A1C9-49F4-8CBF-7C3FB124AEF8 <br />8/11/2023 <br />X <br />8/13/2023 <br />8/21/2023 <br />8/14/2023