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DocuSign Envelope ID:9D7D6A39-2FB7-43BE-A9A6-4DB05316237A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Buy Sod, Inc. Party/Vendor Contact Person: Dixon Albritton Contact Phone: 910.639.3979 <br /> PartyNendor Address: 130 Applecross Rd. City Pinehurst State: NC Zip: 28374 Department: DEAPR Amount: <br /> $8,200 Purpose: Emergency repair- Soccer.com Budget Code(s): 10515020 630000 20026 Vendor#64568 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 6/29/2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> p DocuSigned by: <br /> Department Director's Signature V t- gcuAtit 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 QLISa, (,ortkilfb 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 Act: <br /> DocuSigned by <br /> Office of the Chief Financial Officer (21-.161 0./.4,,,,i,Zh,,z Date: <br /> '`----7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by <br /> Office of the County Attorney <br /> E(LA, ?bIt,14S 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 cr,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 />