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ORANGE COUNTY—DEPARTMENT USE ONLY � 1 ,7 <br /> Department '�P <br /> Party/Vendor Name: NCDOT Party/Vendor Contact Person: Sheila Gibbs Contact Phone: 919-707-6625 <br /> Party/Vendor Address: 1020 Birch Ridge Dr. City Raleigh State:NC Zip: 27699 Department: Planning Amount: <br /> $205,162 Purpose:Transit Service Expansion along US 70 corridor Budget Code(s): Vendor# (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date 2/2/16 Approved by Board Yes®No❑ Agenda Date:2/2/16 <br /> This agreement is approved as to technical fo p and content: <br /> 011 Department Director's Signature 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 N�j} Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer L/�C�C• 4 Date:_<10k <br /> Fi ancial Services <br /> This instrument has been pre-audited in the er re d by t e Lo al Government Budget and F'scal Control <br /> Act: /// <br /> Office of the Chief Financial Officer Date: !�6 <br /> /Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney WS Date: I �b <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(7korangecoun,nc.gov <br /> The following signature block is for hard copi and' not required for Docusign contracts: q <br /> / <br /> Office of the Clerk to the Board Date: lY <br />