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DocuSign Envelope ID: 3A334BE5-4684-4D93-8088-CAFAA2A7FFF0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: McQueen Construction,Inc Party/Vendor Contact Person: Harvey McQueen Contact Phone: (919)617-0694 Party/Vendor <br /> Address: 619 Patrick Court City Bahama State:NC Zip: 27503 Department:DEAPR Amount: -12,59L00 Purpose:Fairview Parking Expansion <br /> Project Deduct Change Order Budget Code(s):61370035 880000 20041 Vendor#59479 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment Ei Effective Date July 1, 2016 Approved by Board Yes No❑ <br /> Agenda Date:June 21,2016 <br /> This agreement is approved as to technicaloform and:content: <br /> Department Director's Signature Pia Sf L Date: 2/9/2017 <br /> ---611CFA1D507A495... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology <br /> content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of k gt an d bstandards,specifications,and requirements: <br /> Office of the Risk Management Officer aUSA r,Orwc�16 Date:2/13/2017 <br /> �---7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> r---DocuSigned b . <br /> Office of the Chief Financial Officer (' A.n Date: 2/16/2017 <br /> �---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal formes and sufficiency: <br /> r I � <br /> Office of the County Attorney ,Wun, MA-rtS Date: 2/16/2017 <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 /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />