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DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Parry/Vendor Name: Legacy Research Associates Party/Vendor Contact Person: Deborah Joy Contact Phone: 919- <br /> 215-6469 Party/Vendor Address: 125 West Woodridge Street City Durham State: NC Zip: 27707 Department: <br /> DEAPR Amount: NA Purpose: To amend existing contract for Blackwood Farm Archaeological Survey of Slave <br /> Cemetery to extend end date from April 30, 2016 to Sept. 15, 2016 due to discovery of additional graves and detailed <br /> work needed to fully document and map those graves, the original contract amount of $6,700 remains unchanged <br /> Budget Code(s):61370035 880000 20000 Vendor 4 43430 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> th <br /> ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date August 15 , 2016 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSignedd by: <br /> Department Director's Signature FVaVQ, SfOJA,6� Date: 8/16/2016 <br /> 611 CFM 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 /> DocuSigned""by: <br /> ''��.�.. <br /> Office of the Risk Management Officer <br /> Fausa, r,Orv�c,�16 Date:8/23/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 1� .r Date: 8/23/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney bU,�, r6ufs Date: 8/25/2016 <br /> EAAMKEDM8465._ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydkorangecoqptyLic.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 4 <br />