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DocuSign Envelope ID: 7942E26C- 5317 - 4498- 8A08- B026EF44388A <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Environmental Holdings Group, LLC Party/Vendor Contact Person: Chip Roussel, General <br />Superintendent Contact Phone: 919 -544 -6750 Party/Vendor Address: 190 Kitty Hawk Drive City Morrisville State: <br />NC Zip: 27560 Department: Asset Management Services Amount: $10,600 Purpose: Perform asbestos abatement at <br />Cedar Grove Community Center Budget Code(s): 61370035- 880000 -10016 Vendor # 57474 (N /A if new vendor) <br />Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br />Effective Date December 1, 2014 Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical Egpn � content: <br />Department Director's Signature I Y; 7L1.11001111 Date: 12/12/2014 <br />9E880A46CF64498... <br />Information Technolollies <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 '�ijjWW& xe,ttandards, specifications, and requirements: <br />aura, (hm,b 12/12/2014 <br />Office of the Risk Management Officer Date: <br />Financial Services <br />This instrument has been pre- audited in t mw nfttpaired by the Local Government Budget and Fiscal Control Act: <br />U.(An",tt, ,i_�V.Rti 12/12/2014 <br />Office of the Chief Financial Officer Date: <br />Legal Services <br />This agreement is approved as t "o, d sufficiency: <br />, bLvu rb�tA 12/15/2014 <br />Office of the County Attorney Date: <br />E-PA3 8465 <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd@oran eg countync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />Office of the Clerk to the Board <br />Revised 10/14 4 <br />Date: <br />