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<br />DocuSign Envelope ID: 879481CD-E306-47B4-9294-DEA1E30B4717 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Hobbs Upchurch Associates, P.A. Party/Vendor Contact Person: David Lane Contact Phone: <br />910 692-5616 Party/Vendor Address: P.O. Box 1737, 137 W. Connecticut Avenue City Southern Pines State: NC <br />Zip: 28388 Department: N.A. Amount: $10,860.00 Purpose: Additional Engineering & Surveying Services <br />Budget Code(s): 61370035-870000-30044 Vendor # 60465 (N/A if new vendor) Vendor is a BOCC consultant? <br />Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 02/23/2015 <br />Approved by Board Yes No Agenda Date: N/A <br /> <br />This agreement is approved as to technical form and content: <br /> <br /> ________________________________________ Date: ________ <br />Department Director’s Signature <br /> <br /> <br />Information Technologies <br /> <br />() This agreement has been reviewed and is <br />Applicable only to hardware/software purchases or related services <br />approved as to information technology content and specifications: <br /> <br />___________________________ Date: ________ <br />Office of the Chief Information Officer________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />___________________________________ Date: _________ <br />Office of the Risk Management Officer <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br /> ____________________________________ Date: _________ <br />Office of the Chief Financial Officer <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />__________________________________________Date: ________ <br />Office of the County Attorney <br /> <br /> <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br />