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DocuSign Envelope ID:2E2A8C23-2FC2-4842-9D7F-FA4A647151 F7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Terraquest Envrionmental Consultants,P.C. Party/Vendor Contact Person: Jonathan R. Grubbs, <br /> P.C. Contact Phone: 919.563.9091 Party/Vendor Address: 100 East Ruffin Street City Mebane State: NC Zip: <br /> 27302 Department: Housing, Human Rights and C/D Amount: $1,775.00 Purpose: Contract for Services Budget <br /> Code(s): 3247302063000047316 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes E]NoE <br /> Contract Type: (Check one) New 0 Renewal F-I Amendment M Effective Date 9/2/2016 Approved by Board <br /> Yes❑NoZ Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by(,,,,U : <br /> UA-, <br /> DepaitmentDitector"sSignature- " ,4" Date: <br /> 9/21/2016 <br /> A13FC071FOB64E0 <br /> Information Technologies <br /> (Applicable only tohaidwwe/sqftwarepurchases or related services) This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief'lnf'ox mation 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 us. ("6�6 Date: 9/22/2016 <br /> 7FDCF9176800498 <br /> Financial Services <br /> This instrument has been pre-audited in ,Dw@& WWired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer I el-� 16.1.11. Date: 9/22/2016 <br /> 7D4E5181ACC1409 <br /> Legal Service <br /> This agreement is approved as t dmimaud sufficiency: <br /> Office of*the County Attorue Date: 9/23/2016 <br /> !4043'5CB8304CA4A9 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd@.orangecountync.gov <br /> The following signature block is fbr hard copies only and is not required f6i Docusign contracts: <br /> Office of the Clerk to the Boat d Date: <br /> Revised 6/16 5 <br />