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DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Terracon Consultants, Inc. Party/Vendor Contact Person: David Carver Contact Phone: 919- <br /> 436-2940: dbcarver@terracon.com Party/Vendor Address: 2401 Brentwood Road, Suite 107 City Raleigh State: NC <br /> Zip: 27604 Department: AMS Amount: $1,000 Purpose: Sportsplex Lobby CMT Budget Code(s): 53-3553-35-530-5300- <br /> 30-00-870000 Vendor#60991 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 9/26/2014 Approved by Board Yes❑ No® <br /> Agenda Date: <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 Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> D Sig-d by: <br /> Qusa �avmh <br /> Office of Risk Management Date: 9/24/2014 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> D Sig tl by: <br /> Office of the Chief Financial Officer : Date: 9/24/2014 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D Sig tl by <br /> Office of the County Attorne J0LL rebw� Date: 9/24/2014 <br /> �—EAA3033EDBA3485... <br /> Clerk to the Board <br /> Received for record retention: <br /> D S'g d by: <br /> Office of the Clerk to the Board 06K" �" � Date: 9/24/2014 <br /> i <br /> i <br /> Revised 7/14 4 <br />