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DocuSign Envelope ID: 31 ED98F9-37A4-401 F-B3B5-BFDF2233FDC3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Swanson+Associates, P.A. Party/Vendor Contact Person: David Swanson Contact Phone: 919- <br /> 929-9000 Party/Vendor Address: 100 East Carr Street City Carrboro State: NC Zip: 27510 Department: AMS <br /> Amount: $4,035 Purpose: Veterans Memorial Phase 1 design and construction administration Budget Code(s): <br /> 61370035-870000-10060 Vendor # 57954 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date June 9,2017 Approved by Board <br /> Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D Sg tlby. <br /> Department Director's Signature 7n Date: 6/13/2017 <br /> �9C88CA4.6F644�8... <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—DOCUSignetl by: <br /> Qtisa ConAdo 6/15/2017 <br /> Office of the Risk Management Officer U,91/.00498 Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSignetl by. <br /> Crlot. ,�otkZ12d.z 6/17/2017 06, <br /> Office of the Chief Financial Officer p,s g, .1B Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D sg any: <br /> � IA. rol4trts 6/20/2017 <br /> Office of the County Attorney�r„�,D,„,„„s,, Date: <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 />