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DocuSign Envelope ID: EA0622FB-3DD4-44A5-954F-65E0383F6927 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Terracon Consultant, Inc. Party/Vendor Contact Person: David B. Carver, <br /> dbcarver @terracon.com Contact Phone: (919) 873-2211 Party/Vendor Address: 2401 Brentwood Rd., Suite 107 City <br /> Raleieh State: NC Zip: 27604 Department: Planning & Inspection Amount: $3,000.00 Purpose: CMT Budget <br /> Code(s): 34600020-870000-30046 Vendor#60991 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 09/03/14 Approved by Board <br /> Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> Do ss aby <br /> cmo bw kd 101712014 <br /> Department Director's Signature Q 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 Sg tlby. <br /> Office of Risk Management) u(�sa�owuNo Date. 10/10/2014 <br /> �FDCFeveaooaea_. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 0 sg aby: <br /> Office of the Chief Financial Officer Date: 10/10/2014 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D s9 aby: <br /> Office of the Count y Attorney 0�" �ohwts Date: 10/10/2014 <br /> y� <br /> Clerk to the Board <br /> Received for record retention: <br /> �°ti a f3a!u <br /> Office of the Clerk to the Board geA� Date: 10/13/2014 <br /> Revised 7/14 4 <br />