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DocuSign Envelope ID:7F897FB2-8130-4E97-ACA1-2F204BB1 F61 E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: SCS Engineers, PC Party/Vendor Contact Person: Robert E Dick Contact Phone: 804-378- <br /> 7440 Party/Vendor Address: 15521 Midlothian Turnpike Suite 305 City Midlothian State: VA Zip: 23113 <br /> Department: Solid Waste Amount: $89,999 Purpose: Development of Initial Planning Documents for a Regional <br /> Integrated Materials Management Facility Budget Code(s): 50351020-630000 Vendor#N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 12-28-16 Approved by Board Yes No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> r----DocuSigned by: <br /> Department Director's Signature £ k (P1(_Sblk Date: 1/23/2017 <br /> `—6E763F604A144E2... <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 /> r---DocuSigned_by: <br /> 'll <br /> Office of the Risk Management Officer <br /> a�1S& rbvvutl6 Datel/23/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> ,----DocuSigned by: <br /> Office of the Chief Financial Officer (71p Date: 1/24/2017-7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r----DocuSigned by: <br /> Office of the County Attorney ja t-S brtiotiA, Date: 1/26/2017 <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 1/16 <br /> 9 <br />