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DocuSign Envelope ID: 505E90B4-7299-4C01-BDD5-5463D0215BC5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Landmark Surveying,Inc. Party/Vendor Contact Person: Doug Yarbrough Contact Phone: 336- <br /> 229-6275 Party/Vendor Address: 109 East Harden Street City Graham State: NC Zip: 27253 Department: DEAPR <br /> Amount: $5,200 Purpose: Conduct a boundM survey and prepare recordable plat for 37-acre property owned by <br /> Efland Heirs Budget Code(s): 61370035 850000 20026 Vendor# 44120 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No[] Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 6 <br /> 2016 Approved by Board Yes❑No® Agenda Date: Project was approved in closed session on March 22,2016) <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature FVaVLG SfOJA,6� Date: <br /> 611CFA1D507A495... <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 /> DocuSigned by: <br /> Office of the Risk Management Officer Fausa, (,OV'vtd 6 Date: <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: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> uSigned by: <br /> Office of the County Attorney 56Z, r6u�s Date: <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.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 4 <br />