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DocuSign Envelope ID: 57E297CC-03C0-463C-B17A-569B0EAC735F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: S&ME Party/Vendor Contact Person: Samuel P. Watts Contact Phone: 919-872-2660 <br /> Party/Vendor Address: 3201 Spring Forest Road City Raleigh State: NC Zip: 27616 Department: DEAPR <br /> Amount: $50,000.00 Purpose: Assessment of Former Hillsborough Landfill at Fairview Park Budget Code(s): <br /> 61370035 870000 20041 Vendor# 52307 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/1/2017 Approved by Board <br /> Yes❑No Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> • DocuSigned by: <br /> Department Director's Signature Au- Aa.At Date: 8/1/2017 <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 /> (Docu5igned by: 1111 <br /> Office of the Risk Management Officer <br /> ((USX((USX (b""A,d6 Date: 8/2/2017 <br /> �---7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the mariner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> • DocuSigned by: <br /> Office of the Chief Financial Officer Date: 8/2/2017 <br /> v---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> • DocuSigned by: <br /> Office of the County Attorney ,�OU,IA, Met Date: 8/2/2017 <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 <br /> 10 <br />