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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pittman Landscaping&Lawn Care Party/Vendor Contact Person: Stan Pitman Contact Phone: <br /> 919-669-5795 Party/Vendor Address: PO Box 56 City Efland State:NC Zip: 27243 Department: Ply Amount: <br /> L� /A2 500.00 Purpose: Mow and Clear Efland Sewer Easements Budget Code(s): 51360120-571000 Vendor # 58388 <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date 01/09/2017 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical f9wil and content: <br /> Department Director's Signature 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 sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer 4�- ,t �{ Date: J [ i 7 <br /> Financial Services <br /> This instrument has been pre-audited in the m re e by t Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 1 ` L <br /> Leeal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney r"' Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon com letion @ DolloydAorangecountync. og_v <br /> The following signature block is for hard copies only an t r uired for Docusign contracts: <br /> Office of the Clerk to the Board Date: �1 <br /> Revised 6/16 5 <br />