R 2017-363-E DEAPR - Foster Lake & Pond Management for Blackwood pond fish stocking

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DocuSign Envelope ID: BA2EF2A2-A990-444E-B191-242F333586EE ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Foster Lake & Pond Management Party/Vendor Contact Person: David Hargrave Contact Phone: (919) 427-0010 Party/Vendor Address: PO Box 1294 City Gamer State: NC Zip: 27529 Department: DEAPR Amount: $2,065.00 Purpose: Blackwood Pond Fish Stocking Budget Code(s): 10515020 630000 20037 Vendor# 64409 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Sept. 1,2017 Approved by Board Yes❑No Agenda . Date: This agreement is approved as to technical form and content: p DocuSigned by: Department Director's Signature P t, Sf t Date: ',..--611CFA1D507A495... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: r (DocuSigned"by: Office of the Risk Management Officer QUSA, C,Olrin..e*& Date: �---7FDCF9178800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer r 0 Date: '`----7D4E5181ACC1409... • Legal Services This agreement is approved as to legal form dnd sufficiency: r Office of the County Attorney .36 I � 11, leblt Date: '4^---EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 5