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DocuSign Envelope ID:5OA4B65B-OEEB-4l C5-B177-61057F611634 <br /> d U 15 S <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: NCDENR Division of Water Resources Party/Vendor Contact Person: Andrew Gu Contact <br /> Phone: 919-707-9020 Party/Vendor Address: 1611 Mail Service Center City Raleigh State: NC Zip: 27699-1611 <br /> Department: Planning Amount: 520 Purpose: Orange County's portion of the cost to add sterile glass carp to Lake <br /> Orange to control hvdrilla Budget Code(s): 10695020-720013 Vendor # 27873 remit 13 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal <br /> ❑ Amendment ❑ <br /> Effective Date October 1,2015 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> / D�ocuSigu¢e.,d by: <br /> ' / •L <br /> Department Director's Signatur (L#_/} 6-vwDuGi Date: 9/29/2015 <br /> 846D10DA3CFD4C2... <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 /> DmuSiW*d by: <br /> Office of the Risk Management Office Auss. ChY 6 Date:9/29/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Doeuftrwd by: <br /> Office of the Chief Financial Office PdU && Date: 10/4/2015 <br /> 232DFFCWFA8478... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> uftrwd by: <br /> Office of the County Attorne YAM, 4ky� Date: 10/5/2015 <br /> EAMMED8A8465... <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 />