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19 <br /> IN WITNESS WHEREOF, this Agreement has been executed, in duplicate, the day and year <br /> heretofore set out, on the part of the Department and the County by authority duly given. <br /> L.S. ATTEST: ORANGE COUNTY <br /> BY: BY: <br /> TITLE: TITLE: <br /> DATE: <br /> NCGS 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State Employee of <br /> any gift from anyone with a contract with the State, or from any person seeking to do business with <br /> the State. By execution of any response in this procurement, you attest, for your entire organization <br /> and its employees or agents, that you are not aware that any such gift has been offered, accepted, or <br /> promised by any employees of your organization. <br /> This Agreement has been pre-audited in the manner <br /> required by the Local Government Budget and Fiscal <br /> Control Act. <br /> (SEAL) (FINANCE OFFICER) <br /> Federal Tax Identification Number <br /> Orange County <br /> Remittance Address: <br /> DEPARTMENT OF TRANSPORTATION <br /> BY: <br /> (CHIEF ENGINEER) <br /> DATE: <br /> APPROVED BY BOARD OF TRANSPORTATION ITEM 0: (Date) <br /> Agreement ID#6119 17 <br />