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DocuSign Envelope ID: 1DF5359D-A350-4AC1-ADE8-2EE59D5824E9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Environmental Services Inc. Party/Vendor Contact Person: Kevin Markham Contact Phone: <br /> 919-212-1760 Party/Vendor Address: 4901 Trademark Drivel ,NC City Raleigh State: NC Zip: 27610 Department: <br /> DEAPR Amount: $1,185 Purpose: Fairview Park Archaeological Investigations and Report Budget Code(s): <br /> 61370035 880000 20041 Vendor # 53349 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date October 15"', 2015 Approved by <br /> Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature r—PAVIL Sf Date: 10/10/2015 <br /> 611CFA1D507A495... <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 /> This agreement is approved for sufficiency of insurance standards,specifications, and requirements: <br /> PCs&DocuSigned"by:'Office of the Risk Management Officer rbVl7t 6 Date: 10/12/2015 <br /> 71`DCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> --- lA DocuSign"_ed by: <br /> Office of the Chief Financial Officer INAL 1, 6VU Date: 10/12/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> /( Signed by: <br /> L <br /> Office of the County Attorney <br /> 56, <br /> VU otxfS Date: 10/13/2015 <br /> EAAMKEMA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync.gov <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 4 <br />