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DocuSign Envelope ID:9A42A14F-A9B7-4E76-9457-9C3B95A32587 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Design Dimensions, Inc. Parry/Vendor Contact Person: Betsy Peters Contact Phone: 919-828- <br /> 1485 Party/Vendor Address: 901 North West Street City Raleigh State: NC Zip: 27603 Department: DEAPR <br /> Amount: $5,700 Purpose: Cedar Grove History Wall Design Phase 1 Budget Code(s): 10511030 800000 20002 <br /> Vendor# 63071 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date Feb. 19, 2016 Approved by Board Yes❑No® Agenda <br /> Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSignedd by: <br /> Department Director's Signature FVAWI sIA" Date: 2/19/2016 <br /> 611 CFM 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 /> DocuSigned""by: <br /> ''��.�.. <br /> Office of the Risk Management Officer Faus& r,Orv�c,�16 Date: 2/22/2016 <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: 3/7/2016 <br /> V' <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficien : <br /> ocu Signed by:,'��,, <br /> Office of the County Attorney 56, <br /> �b��vl' Date: 3/8/2016 <br /> EAAMKEDM8465._ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 1/16 4 <br />