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DocuSign Envelope ID:2B500D4F-A05D-4147-B24B-6A0193E6957F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: JB Tree Service Party/Vendor Contact Person: Jeffrey Bracken Contact Phone: 919.602.0946 <br /> Party/Vendor Address: 7410 NC Hwy 86N City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: <br /> $4,500 Purpose: Tree Removal Budget Code(s): 61370035 880000 20039 Vendor # 52882 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date August 7,2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature POW-t, Date: <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 /> DocuSigned"by: <br /> '�.�. <br /> Office of the Risk Management Officer aLSo CO 1 tAh Date: <br /> �---7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer (21 Za Date: <br /> �---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by:,,,�, <br /> Office of the County Attorney jOLIn, �b�t Date: <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 a,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 5 <br />