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DocuSign Envelope ID:9141986F-1 B82-40FD-B364-5C818EBODBD6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: TischlerBise Party/Vendor Contact Person: Carson Bise Contact Phone: 301-320-4860 <br /> Party/Vendor Address: 4701 Sangamore Rd, Ste. S240 City Bethesda State: MD Zip: 20816 Department: <br /> Planning Amount: $71,340 ($39.980 FY14-15 funds: $31,360 FY15-16 funds) Purpose: school impact fee study <br /> Budget Code(s): 10620020-630000 Vendor 4 56683 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date upon execution <br /> Approved by Board Yes❑No® Agenda Date: <br /> DocuSigned by: <br /> This agreement is approved as to technical or�n� i Me t � <br /> l�'''"" 7/24/2015 <br /> Department Director's Signature 846D10DA3CFD4C2... Date: <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 Management <br /> DocuSigned by: <br /> This agreement is approved for sufficiency of E17FDCF9176800498...rTn_q�,A j ds,specifications,and requirements: <br /> 7/2 7/2 015 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in th wired by the Local Government Budget and Fiscal Control <br /> Act: <br /> 8/25/2015 <br /> Office of the Chief Financial Officer 232DFFC2CFA847B... Date: <br /> Legal Services <br /> DocuSigned by: <br /> This agreement is approved as to leg f1328DC480549A4F5 ed ffi ency: <br /> �`" tl 8/25/2015 <br /> Office of the County Attorney ... Da te: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd yorangecou go v <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 <br /> 8 <br />