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Revised 04/23 10 <br />ORANGE COUNTY—INTERNAL USE ONLY <br />______________________________________________________________________________ <br />Finance Information <br />Vendor Name: Clint Wilson Electric, Inc Vendor Contact Person: Clint Wilson (clintwilsonelectric@gmail.com) Phone: <br />919.563.3540 Address: PO Box 971 City Mebane State: NC Zip: 27302 Department: AMS Amount: $10.424.00 Purpose: <br />Emergency Services Electrical Vehicle Charger Installation Budget Code(s): 61370035-803082-30051 Vendor # 66400 <br />Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No <br />Contract Details <br />Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) <br />Effective Date 01/22/2024 End Date 06/30/2024 Notice Date (Notice Purpose ) <br />Award <br /> Approved by Board (Agenda Date: ); Made or Administered by AMS <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: 30051) <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 affirmatively state work on this <br />project has not been initiated prior to execution of the agreement. <br /> Services related to this agreement have already begun or been completed. Description of the nature of the emergency <br />condition that was addressed: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Information Technologies <br />This agreement has been reviewed and is approved as to information technology content and specifications: <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> Inapplicable because no hardware/software purchases or related services <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <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 Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <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 />Received for record retention: <br />DocuSign Envelope ID: AE92FE8C-3E2D-413C-AE9D-D1BCFB75F4D1 <br />1/19/2024 <br />1/22/2024 <br />1/22/2024 <br />1/22/2024