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DocuSign Envelope ID:418ADAA3-2F7B-4243-AF32-4541 C164B6FA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: DH Griffin Infrastructure, LLC Party/Vendor Contact Person: Danny Hoyle Contact Phone: 919-897- <br /> 6767 Party/Vendor Address: 4716 Hilltop Rd City Greensboro State: NC Zip: 27407 Department: Solid Waste Amount: <br /> $3,100,000 Purpose: Construct Eubanks Rd. Waste and Recycling Center Budget Code(s): 50353030 880000 Vendor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date Approved by Board Yes[Z]No Agenda Date: 6-2-15 <br /> This agreement is approved as to technical form ansl content: <br /> , DocuSigne by: <br /> Department Director's Signature (Ptt)blA, Date: 1/28/2017 <br /> 6E763F604A144E2... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 /> r---DocuSigned by: <br /> Office of the Risk Management Officer [(USX CortAkftb Date: 1/30/2017 <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 /> r---DocuSigned <br /> Office of the Chief Financial Officer rI"''' 4"1.414-""1- Date: 2/7/2017 <br /> `—7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> p' DocuSigned by: <br /> Office of the County Attorney JitS 151nL1a.ln Date: 2/7/2017 <br /> `—328DC480549A4F5... <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 1/17 8 <br />