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DocuSign Envelope ID:922D6914-A933-4C2E-BCA1-695766A5D6D2 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Moseley Architects Party/Vendor Contact Person: Dan Mace Contact Phone: 704-540-3755 <br /> Party/Vendor Address: 11430 North Community House Road, Suite 225 City Charlotte State: NC Zip: 28277 <br /> Department: AMS Amount: $1,418,250 Purpose: New Detention Facility Design Budget Code(s): 61370035- <br /> 870000-10051 Vendor# 55186 (N/A if new vendor) Vendor is a BOCC consultant? Yes F-1 NoF;j Contract <br /> Type: (Check one)New M Renewal r_1 Amendment ❑ Effective Date 8/24/2015 Approved by Board Yes❑ <br /> No® Agenda Date: BOCC delegated selection and signature to County Manage <br /> This agreement is approved as to technical form and content: <br /> --g-d by: <br /> �.# <br /> Department Director's Signature ............. Date: 8/19/2015 <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 Date: <br /> Risk Managemen <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> D.-Sig—by: <br /> Office of the Risk Management Officer gusa (hn&&6 Date: 8/20/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> D. Sig..d by: <br /> Office of the Chief Financial Officer[Pa tAV�N, Date: 8/21/2015 <br /> zszoFFCZCrnar _. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D.-Sig—by <br /> Office of the County Attorney �6LL r6bty�s Date: 8/21/2015 <br /> .......... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ f oLklyS11� <br /> _,i�mrw�qCC Llritync,00v <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 Date: <br /> Revised 10/14 9 <br />