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DocuSign Envelope ID:26CB3394-9EF5-42C1-8EAB-432A9B415AA4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Analytical Consultants Party/Vendor Contact Person: Paul Snow Contact Phone: 919-929-9539 <br /> Party/Vendor Address: 125 Kingston Drive, Suite 205 City Chapel Hill State: NC Zip: 27514 Department: AMS <br /> Amount: $5,000 Purpose: Hillsborough Commons Appraisal Budget Code(s): 10240320 630000 Vendor # 41103 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal <br /> ❑ Amendment ❑ Effective Date 6/28/2016 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D Sg tlby. <br /> Department Director's Signature Date: 7/8/2016 <br /> �eaeanabe�eaese_. <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 /> D Sg tlby. <br /> Office of the Risk Management Office &OL (hw 6 Date: 7/11/2016 <br /> €sera i uaaoass_. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> D.-S, tlby. <br /> �<, G�d,z 7/12/2016 Office of the Chief Financial Officer �'� Date: <br /> era€s is i.c.,e ivos_. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D S tl by: <br /> �olA �oNr v{s 7/14/2016 <br /> Office of the County Attorney ocu ne Date: <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 6/16 5 <br />