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DocuSign Envelope ID: 5BAD1B7E- 132E- 4EDC- B1A7- DE8561E67E43 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Civil Consultants, Inc Party/Vendor Contact Person: Tony M Whitaker, PE President Contact <br />Phone: 919 - 490 -1645 Party/Vendor Address: 3708 Lyckan Parkway, Ste 201 City Durham State: NC Zip: 27707 <br />Department: Asset Management Services Amount: $6,000 Purpose: Due diligence consulting en ing eering services for <br />Southern Branch Library Project Budget Code(s): 61370035- 850000 -10050 Vendor # 62089 (N /A if new vendor) <br />Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br />Effective Date 10/31/2014 Approved by Board Yes❑ Non Agenda Date: <br />This agreement is approved as to technical form and content: <br />DocuSigned by: <br />Department Director's Signature .# 74v"yp"� Date: 10/31/2014 <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 Chief Information Officer <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigned by: <br />g <br />p USa C,bVia� b 11/3/2014 <br />Office of the Risk Management Officer Date: <br />7FDCF9176800498... <br />Financial Services <br />This instrument has been pre- audited in the &ftgW9jbf.9quired by the Local Government Budget and Fiscal Control Act: <br />��^�` ^ -,bk ^ 11/3/2014 <br />Office of the Chief Financial ffi <br />Officer <br />Date: <br />Legal Services <br />This agreement is approved as to le �hfggrm end sufficiency: <br />Office of the County Attorney ' 66u fbktv�S Date: 11/3/2014 <br />Cleric to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo. d a,oran eg_ countync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />DocuSigned by: <br />Office of the Cleric to the Board CJ7E61B3FC087B4DE 6WA,a f?Ak r Date: 11/3/2014 <br />.. <br />Revised 10/14 4 <br />