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ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department /07 <br /> Party/Vendor Name: TJCOG Party/Vendor Contact Person: Jen Schmitz Contact Phone: 919-558-9342 <br /> Party/Vendor Address: 4307 Emperor Blvd, Suite 110 City Durham State: NC Zip: 27703 Department: DEAPR <br /> Amount: 15,365.00 Purpose: Participation in Phase VIII of the Trian gle Area Water Supply Monitoring Project <br /> from July 2017 through June 2022 Budget Code(s): 10695020 720008 Vendor # 5855 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date July 1,2017 Approved by Board Yes❑No[] Agenda Date:June 6,2017 <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature . Date: <br /> Information Technoloeies <br /> (Applicable only to hardware/software purchases or rel ted services)This agreement has been reviewed and is <br /> approved as to information technology content ci cations: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of ins e t dards,specifications,and requirements: <br /> Office of Risk Management Date: <br /> Financial Services <br /> This instrument has been pre-audited in the m n r r uired b the Local Government Budget and Fiscal Control <br /> Act: / <br /> Office of the Chief Financial Officer Date: 5 <br /> 7 <br /> Leval Services <br /> This agreement is approved as to legal form,and fficiency <br /> _Z <br /> Office of the County Attorney � Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: '� <br /> Revised 2/17 / <br />