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DocuSign Envelope ID:7F60E54E-C475-4A87-8A4B-CBC487C92B77 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Legacy Research Associates, Inc. Party/Vendor Contact Person: Deborah Joy Contact Phone: <br /> 919-215-6469 Party/Vendor Address: 125 West Woodridge Drive City Durham State: NC Zip: 27707 Department: <br /> DEAPR Amount: $6,700 Purpose: Blackwood Farm archaeological survey of slave cemetery Budget Code(s): <br /> 61370035 880000 20000 Vendor # 43430 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Feb. 1St,2016 Approved by Board <br /> Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSignedd by: <br /> Department Director's Signature 5AW, IA" Date: 2/4/2016 <br /> 611CFA1 D507A495._ <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 /> ""by:''��.�..Office of the Risk Management Officer FDocuSigned <br /> llS& rbrv�cN Date: 2/5/2016 <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 /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: 2/12/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by:, � <br /> Office of the County Attorney <br /> 56,6t, r6u s Date: 2/12/2016 <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydAoran 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 />