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DocuSign Envelope ID:8A735669-3D2F-468A-BF99-3DF97688146A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: SCS Engineers,PC Party/Vendor Contact Person: Robert E Dick Contact Phone: 804-378- <br /> 7440 Party/Vendor Address: 15521 Midlothian Turnpike Suite 305 City Midlothian State: VA Zip: 23113 <br /> Department: Solid Waste Amount: 89999 Purpose: Preperation of Solid Waste Financial Plan Budget Code(s): <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check <br /> one)New[] Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda <br /> Date: <br /> This agreement is approved as to technical form and conten6ocuSigned by: <br /> Department Director's Signature �1 �l�Sbin. Date:3/14/2016 <br /> 6E763F604A144E2... <br /> Information Technolosies <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 /> Docu5igned""by: <br /> ''1111 <br /> Office of the Risk Management Officer <br /> Fausa, rbrv�c,�16 Date: 3/16/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Docu5igned by: <br /> Office of the Chief Financial Officer (' Date: 3/16/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal fo /Isa .-ioBpy: <br /> Office of the County Attorney � Date: 3/17/2016 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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 <br /> 9 <br />