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cR M-9 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: City of Mebane Party/Vendor Contact Person: Chris Rollins Contact Phone:(919)563-5901 <br /> Party/Vendor Address: 106 E Washington St. City Mebane State: NC Zip: 27302 Department: Planning_& <br /> Inspections Amount: No increase from original agreement $60,000) Purpose: Efland Sewer Maintenance-Add <br /> ORC Duties Budget Code(s): 51360120-571000 Vendor# 800039 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date <br /> 05/02/2017 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical aid-een ent: <br /> Department Director's Signatur Date: l� <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 /> Office of Risk Management �t1 - '` l r Date: 7 <br /> Fina 'al Services <br /> This instrument has been pre-audited in fthee)reqire y the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> (Office of the County Attorney Date: <br /> �� - <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: 7 <br /> Revised 2/17 <br />