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DocuSign Envelope ID: 32EO8BD7-D7A9-4E3B-9E4A-7202C5E86675 <br /> ORANGE COUNTY—DEPARTMEN'r USE ONLY <br /> ............ -------- ........ <br /> Department <br /> Party/Vendor Name: Environmental Holdings Group, LLC Party/Veridor Contact Person: Clip—Roussel General <br /> Superintendent Contact Phone: 704-527-2018 Party/Vendor Address: 627-G Minuet Lane City Charlotte State: <br /> NC Zip: 28217 Department: Asset Management Services Amount: $41,656 Purpose: Remove exterior window <br /> frames containing asbestos glazing- obtain permits, and dispose of debris at 5800 Hwy 86 North, per Proposal 1_m4- <br /> 65-6426 Budget Codets): 61370035-892000-10016 Vendor # 57474 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes El NoZ Contract 'rype: (Check one) New Z Renewal El Amendment El Effective Date <br /> 05/2612015 Approved by Board YesR No❑ Agenda Date: <br /> This agreement is approved as to technical <br /> Department Director's Signature Date: 5/19/2015 <br /> Information Technologies <br /> (Applicable only to hardivarelsojiw vare purchaves or related servic es)'I'llis agreement has been reviewed and is <br /> approved as to inlonnation technology content and specifications: <br /> Office of the Chief Information Officer .................... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer US& 66�6 Date: 5/20/2015 <br /> ......... ... <br /> 17MCF917680049K. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer Date: 5/25/2015 <br /> — -------------- <br /> Le2al Services <br /> This agreement is approved as to legal forin <br /> Office of the County Attorney Date: 5/26/2015 <br /> ........................ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ QQ11pydralorangecountyric qy <br /> 'rhe 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 1:0/14 <br />