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DocuSign Envelope ID:00CA9FB4-CE9C-491 B-B714-F1 B722606E01 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Francisco Plaza Party/Vendor Contact Person: Franscisco Plaza Contact Phone: (919) 593- <br /> 7215 Party/Vendor Address: 806 Spring Street City Hillsborough State: NC Zip: 27278 Depat lucent: DEAPR <br /> Amount: $7,000 Purpose: Provide woodworking craft services to shape, fit and install 400 cedar poles to construct <br /> palisade fence around former Occaneechi Village site in River Park Budget Code(s): 61370035 880000 20032 <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date February 10, 2016 Approved by Board Yes❑ No <br /> Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature VGLU.t, a&(Al, Date: 2/7/2017 <br /> � 611CFA1D507A495... <br /> • <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 /> DocuSigned by: ��.�.. <br /> Office of the Risk Management Officer ((USX. CO IA,d6 Date: 2/7/2017 <br /> � 7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: 2/10/2017 <br /> 7D4E5181 ACC 1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney jOLt , KOIit Date: 2/13/2017 <br /> �---EAA3D33ED8A8465... <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 /> Revised 6/16 6 <br />