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DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Legacy Research Associates, Inc. Party/Vendor Contact Person: Deborah Joy Contact Phone: <br /> 919-215-6469 Party/Vendor Address: 125 West Woodridge Drive City Durham State: NC Zip: 27707 Department: <br /> DEAPR Amount: $6,700 Purpose: Blackwood Farm archaeological survey of slave cemetery Budget Code(s): <br /> 61370035 880000 20000 Vendor # 43430 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one)New® Renewal El Amendment ❑ Effective Date Feb. 1St,2016 Approved by Board <br /> Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> ,i—DocuSignedd by: <br /> Department Director's Signature VA t. S'f aiAAAL Date: 2/4/2016 <br /> ,—611 CFA1 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 /> c---DocuSigned by: <br /> Office of the Risk Management Officer I LtS& (,bV1AA_ b Date: 2/5/2016 <br /> L—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: 2/12/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> f—Jh DocuSigned by: <br /> Office of the County Attorney b rbi •tS Date: 2/12/2016 <br /> '`—EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ 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 10/14 4 <br />