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DocuSign Envelope ID: 5D74B845-F7B8-4E81-AF36-DCC9BA40DDA7 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Earthscapes Inc. Party/Vendor Contact Person: David Fletcher Contact Phone: 919- <br /> 730-5373 Party/Vendor Address: 1841 North NC HWY 119 City Mebane State: NC Zip: 27302 Department: <br /> Asset Management Services Amount: $17,284 Purpose: Renovate Restrooms at Triangle SportsPlex Budget <br /> Code(s): 53530030-803000 Vendor#63117 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date 11/16/2015 Approved by Board <br /> Yes No® Agenda Date: N/A <br /> This agreement is approved as to to DocuSigned by: ent: <br /> 2 �""" 'O"' 12/3/2015 <br /> Department Director's Signature 9ES8CA46CF64498... 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 /> This agreement is approved for sufficiency rpoc�usigned by: Is, specifications, and requirements: <br /> a,tSA Colliu h6 12/7/2015 <br /> Office of the Risk Management Officer_ 7FDCF917E80049E... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSiWned by: <br /> 12/12/2015 <br /> Office of the Chief Financial Officer 7D4E5181Acc140.0.. Date: <br /> Legal Services <br /> This agreement is approved as to DocLSi ned by: iency: <br /> i6tUA, Not, 12/14/2015 <br /> Office of the County Attorney_ EAA3D33ED8A 4,35... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Po licacifOo rangecounlync.m <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 10/14 5 <br />