Orange County NC Website
DocuSign Envelope ID:7F897FB2-8130-4E97-ACA1-2F204BB1 F61 E <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY 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: N/A Purpose: Void Earlier Contract Budget Code(s): 50351020630000 <br /> Vendor#63701 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) <br /> New❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> r---- <br /> DocuSigned by: <br /> Department Director's Signature Gl,titt, Mow Date: 3/3/2017 <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 /> a—DocuSigned_by: <br /> Office of Risk Management aUsa CortAk 1ll <br /> 6 Date:3/6/2017 <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 /> a---DocuSigned by: <br /> 3/8/2017 <br /> Office of the Chief Financial Officer ���+ Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal forms g da sufficiency:by: <br /> awtt,S j°7V' tiA, 3/8/2017 <br /> Office of the County Attorney � Date: <br /> �—328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br />