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DocuSign Envelope ID: F3FC9CBB-0A47-4FED-AB10-D917A762CF64 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: CST Fleet Services Party/Vendor Contact Person: Hayes Smith Contact Phone:336-287-5882 <br /> Party/Vendor Address: 1325 Central Rd. City Clemmons State:NC Zip: 27012 Department: Solid Waste Amount: <br /> 20.000 Purpose:Fleet Management Study Budget Code(s): 50351020630000 Vendor#63690 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes El No Contract Type: (Check one)New❑ Renewal El Amendment El <br /> Effective Date 12-14-2016 Approved by Board YesE No Agenda Date: <br /> This agreement is approved as to to nntxl. d content: <br /> (� ((fit ((J��l(�,SOL 12/20/2016 <br /> Department Director's Signature 6E763F604A144E2... Date: <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 sufficienc 14�s i t�standards, specifications,and requirements: <br /> QUSA. (01/u06 12/21/2016 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> DocuSi ned b <br /> This instrument has been pre-audited in e mann$r r quire by the Local Government Budget and Fiscal Control Act: <br /> ,ZJ / <br /> Office of the Chief Financial Officer 7D481ACC14o9... Date: 1 6/2017 <br /> Legal Services <br /> This agreement is approved as t e °�`orm ndy ufficiency: <br /> a�un, l 1/6/2017 <br /> Office of the County Attorney EAA3D33ED8A8465... 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 <br /> 9 <br />