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DocuSign Envelope ID: F8C68ECA-D485-4C2A-B772-05B284F5AADA <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Green Corp. Party/Vendor Contact Person: Kerry Price Contact Phone: <br /> 704.753.1707 Party/Vendor Address: 10108 Indian Trail-Fairview Rd. City Indian Trail State: NC Zip: 28079 <br /> Department: DEAPR Amount: $15,834 Purpose: W10 spring renovation Budget Code(s): 10510020 630000 <br /> 20026 Vendor # 55230 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> p DocuSigned by: <br /> Department Director's Signature P gala galait Date: <br /> --611CFA1D507A495... <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 /> '�.�. <br /> Office of the Risk Management Officer a(A O tort td,*& Date: <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 (24,4 0...d."„.., C77 Date: <br /> ---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r DocuSigned by: <br /> Office of the County Attorney jo(un, Vbtit,Vl S Date: <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 2/17 <br /> 8 <br />