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DocuSign Envelope ID:786DDAD1-F07A-4D40-ABEA-619502C777DE <br /> ORANGE COUNTY--DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: McGill Associates Party/Vendor Contact Person: Doug Chapman, PE Contact Phone: 828- <br /> 217-3609 Party/Vendor Address: 1240 19th Street, Lane NW City Hickory State: NC Zip: 28603 Department: <br /> Planning and Inspections Amount: $2,800.00 Purpose: Duke Energy Easement Plat Preparation Budget Code(s): <br /> 34600020-870000-30044 Vendor#60857 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one)New❑ Renewal ❑ Amendment ® Effective Date 07/21/2017 Approved by Board <br /> Yes❑No Agenda Date: 06/20/2017(BOCC delegated authority for future amendments to County Manager.) <br /> This agreement is approved as to technical form and content: <br /> r—DocuSigned by: 7/24/2017 <br /> Department Director's Signature brotiO 1°7w�t iC{ Date: <br /> `—846D10DA3CFD4C2... <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 /> QtiSa CbinA.t {6 7/24/2017 <br /> Office of Risk Management Date: <br /> `-7FDCF9176806498 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> °'L" <br /> 7/24/2017 <br /> ( <br /> Office of the Chief Financial Officer ' �a°'L Date: <br /> `---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r---DocuSigned by: <br /> Office of the County Attorney imt—S f2r1° Date: 8/2/2017 <br /> `—328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br />