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DocuSign Envelope ID: DA2607DE -OE33- 467E- B8B3- 1CO0123BE8A9 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: MdM Historical Consultants Party/Vendor Contact Person: Jennifer Martin Contact Phone: 919- <br />368 -1602 Party/Vendor Address: PO Box 1399 (808 Parker St) City Durham State: NC Zip: 27701 Department: <br />DEAPR Amount: $4,000 Purpose: Agricultural History Research Project Budget Code(s): 10610020 630000 Vendor <br /># 62927 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br />Renewal ❑ Amendment E] Effective Date May 15t', 2015 Approved by Board Yes❑ No® Agenda Date: <br />This agreement is approved as to technical form and content: <br />DocuSigned by: <br />r—pav't <br />Department Director's Signature Sfoiju tL Date: <br />611CFA1D507A495... 5/15/2015 <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 />''� <br />Office of the Risk Management Officer rAusa,vvt,e,ttb Date: <br />7FDCF9176800498... 5 15 2015 <br />Financial Services <br />This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />DocuSigned by:: '' <br />Office of the Chief Financial Officer r—P&IAL LAdAdll,(.fbVu Date: <br />5/25/2015 <br />232DFFC2CFA847B... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Signed by: <br />Office of the County Attorney 56Z0CVUU ot t fS Date: <br />EAAMKEMA8465... 5/26/2015 <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran ecountyn_cov <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 />