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DocuSign Envelope ID:A034BEFC-1769-4A2A-B443-DC7C17813746 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Paul L. Wilkerson Jr. Grading Company Party/Vendor Contact Person: Paul Wilkerson Contact <br /> Phone: 919-732-2579 Party/Vendor Address: 4600 Brock Drive City Hurdle mills State:NC Zip: 27541 Department: <br /> Planning Amount: $495.00 Purpose: Sewer easement maintenance: gravel pavement grading and restoration Budget <br /> Code(s): 51360120-571000 Vendor# 61663 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/11/2017 Approved by Board <br /> Yes No Agenda Date: <br /> This agreement is approved as to techgbgjh i ,.and content: <br /> Department Director's Signatu e Cr 15uAA-44-ict Date: <br /> 846D1ODA3CFD4C2... <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 /> DocuSigneed_by: <br /> Office of the Risk Management Office <br /> (' <br /> ce PUS& C"Irtiut ll 6 Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in theomag eer required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office (1p 446°°` Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to lega 1 sfon And sufficiency: <br /> Office of the County Attorne C3bLIA, rolitxts 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 5 <br />