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DocuSign Envelope ID:9E9233F7-3B63-4574-AD 15-BE39BAACAAFD <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Foster Lake and Pond Management,Inc Party/Vendor Contact Person: Wesley Haskins Contact <br /> Phone: 919-634-7953 Party/Vendor Address: 9020 White Oak Road City Garner State: NC Zip: 27529 Department: <br /> Planning Amount: $5,980.00 Purpose: Repair and replace broken trash rack and outlet structure support beam on <br /> sediment structure 2 upstream of Lake Orange Budget Code(s): 10695020-720013 Vendor # 64409 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 6/19/17 Approved by Board Yes No® Agenda Date: <br /> This agreement is approved as to to icklscpsibrd content: <br /> Department Director's Signatur Cr0 0 6 j1 Date: 6/21/2017 <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 sufficienc ,ofdprgaid%standards, specifications, and requirements: <br /> Office of the Risk Management Office USA b Date: 6/22/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited i Pgjagra -byequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office (1'p `�°"tea°'` Date: 6/22/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le l Mf g nand sufficiency: <br /> Office of the County Attorney ib ro� s Date: 6/22/2017 <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 />