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DocuSign Envelope ID: E4349D49-1523-4646-AC79-1BC3F4B5D445 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: W.L. Bishop Party/Vendor Contact Person: Jerry Smith Contact Phone: 919-732-2546 <br /> Party/Vendor Address: 2211 Leah Dr City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: <br /> 44,421.00 Purpose: Change Order for wet soil Budget Code(s): 61370035 880000 20027 Vendor#059867 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one)New ❑ Renewal E] <br /> Amendment M Effective Date Sept. 19,2015 Approved by Board Yes❑NoE Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Docusigned by: <br /> Department Director's Signature FoaW, SfOJA,6� Date: 1/8/20 6 <br /> �-61 1CFAlD507A495 <br /> Information jgghg2j2gjEs <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 /> DocuSigned by: <br /> Office of the Risk Management Office §Usa, (hnuftt Date: <br /> �--7FDCF9176800498 1/11/2016 <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 /> DocuSigned by: <br /> Office of the Chief Financial Office (' Date: 1/12/2016 <br /> C 11 <br /> f7D4E5181ACC1409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D <br /> ocuSigned by: <br /> Office of the County Attorney Date: <br /> 016 <br /> EAA3D33ED8A8465... 111212 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ <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 />