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DocuSign Envelope ID:7ACADO9D-B318-4AD6-B8E5-CB7B9C2A289F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: SCS Engineers,PC PartyNendor Contact Person: Robert E Dick Contact Phone: 804-378- <br /> 7440 PartyNendor Address: 15521 Midlothian Turnpike Suite 305t City Midlothian State: VA Zip: 23113 <br /> Department: Solid Waste Amount: N/A Purpose: Engineering and Environmental Services Budget Code(s): <br /> 50351020630000 Vendor#63701 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 5-22-17 Approved by Board Yes <br /> No Agenda Date:2-21-2017 <br /> This agreement is approved as to technicca_l_torm.g n�ibcontent: <br /> Department Director's Signature aht sow Date: 5/31/2017 <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 /> ''��.. <br /> Office of the Risk Management Officer [(USX �,bvwt,116 Date: 5/31/2017 <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 /> 6/5/2017 <br /> �a� ona,�am <br /> —7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form ssndesufficiency: <br /> , ` g by: <br /> ^ <br /> Office of the County Attorney ,�awtt-S i/V'tiotiA, Date: 6/5/2017 <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 6/16 edit per dept 51817 9 <br />