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DocuSign Envelope ID:2364CBD5-5A05-4BAC-BD85-FA3EA4597782 <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: $74,200 Purpose:Development of Initial Planning Documents for an Integrated <br /> Materials Management Facility and Regional Framework Considerations Budget Code(s): 50351020-630000 <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 2-20-17 Approved by Board Yes No Agenda <br /> Date: <br /> This agreement is approved as to techniccal 4orm.an �lbcontent: <br /> Department Director's Signature a11(,sow Date: 2/16/2017 <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---q-DocuSig/'ned"by:'�. <br /> Office of the Risk Management Officer <br /> [(USX C,ortA,t,{�b Date: 2/17/2017 <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 Date: <br /> 2/22/2017 <br /> �a� ona, am <br /> —7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and s sufficiency: <br /> Office of the County Attorney <br /> J LS brtiotiA, Date: 3/14/2017 <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 />