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DocuSign Envelope ID: 5EA2299C-2546-42C3-AC63-219B5BA6305B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Clearwater Turf and Landscape LLC Party/Vendor Contact Person: Curt Farmer Contact Phone: <br /> (919) 801-0498 Party/Vendor Address: 4248 N. Highway 119 City Mebane State: NC Zip: 27302 Department: <br /> DEAPR Amount: $1,600.00 Purpose: Seed & Fertilize Athletic Fields Budget Code(s): 10515020 630000 20026 & <br /> parks project (no code) Vendor # 64065 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date October 3, 2016 Approved by <br /> Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Docusignedd by: <br /> Department Director's Signature SfaA,u� Date; <br /> 611CFA1D507A495... <br /> Information Technologies <br /> (Applicable only to hardlvare/softivare 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, r,OV't td 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 /> } <br /> Legal Services j <br /> This agreement is approved as to legal form and sufficiency: 1 <br /> Signed by: - <br /> Office of the County Attorney 56Z, r6ufs Date: <br /> EAA3D33ED8A8465... €� <br /> 1 <br /> Clerk to the Board <br /> I <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 />