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DocuSign Envelope ID:D6209C59-EDDE-4EE9-9585-F8B68F281E19 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Terraquest Environmental Consultants, P. C. Party/Vendor Contact Person: Jonathan R. <br /> Grubbs Contact Phone: 919.563.9091 Party/Vendor Address: 100 East Ruffin Street City Mebane State: NC <br /> Zip: 27302 Department: Housing, Human Rights and C/D Amount: $2,125.00 Purpose: Contract for Services <br /> Budget Code(s): 32473020630000473156 Vendor#57462 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 11/3/2016 <br /> Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to .eatuftrriltrid content: <br /> Q <br /> Department Director's Signature U do - ) 12/24/2016 <br /> Date: <br /> 13 FC071r0864E0... <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 f c �/ '_�'f insurance standards,specifications, and requirements: <br /> aUsa rbVl b 12/28/2016 <br /> Office of Risk Management Date: <br /> 7rDCF9170800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: ,----DocuSigned by: <br /> Office of the Chief Financial Officer (16"161 `�°" �°"L Date:1/11/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorney , Date: 1/11/2017 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />