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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> 9 <br /> ,C)[� �jg <br /> Department <br /> Party/Vendor Name: Martin-McGill Inc Party/Vendor Contact Person: William K. Cowan, Partner Contact <br /> Phone: 910-295-3159 Party/Vendor Address: 5 Regional Circle, Suite A City Pinehurst State: NC Zip: 28374 <br /> Department: Planning&Inspections Dept. Amount: $6500.00 Purpose: CDBG-I Grant Application Preparation for <br /> Rogers Road Project Budget Code(s): 10620020-630000""' Vendor# 6266 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date April 1,2016 Approved by Board Yes[]Nor-1 Agenda Date: <br /> This agreement is approved as to technical a��cetAe ♦ / /� <br /> Department Director's Signat �� Date: [ l 114J <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 /> Office of the Risk Management Officer ��� POzom� Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma r requ' by t Lo al Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: z /l <br /> Legal Services <br /> This agreement is approved as to legal form and fficien <br /> Office of the County Attorney Date:�-/4�' <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo dy (2oran ee coun nc.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 /> 8 <br />