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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Creekside Farm PartyNendor Contact Person: Dwight Compton Ca=Phone: 919-732-8487 r <br /> Vendor Address: 5900 Compton Road City Cedar Grove State:NC Zip:27231 D nt:Ply Amount:1 000 Purpose: Mowing at Lake Orange Sediment Structures 1 and 2 Budget Code( 695020-720013 Vendor <br /> 53781 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one)New ® �� <br /> Renewal❑ Amendment ❑ Effective Date 7/21/2017 Approved by Board Yes❑NoM Agenda Date: <br /> This agreement is approved as to techn!Somrm an tent: <br /> Department Director's Signat a Date: l� <br /> Information Technoloeies <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: n <br /> Risk Management <br /> C,Z <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: C/� <br /> Office of the Risk Management Officer //�C,H-- � cl_5z7s�_ Date: //-7 <br /> Financial Services <br /> This instrument has been pre-audited in the r qu a by the Local Government Budget and Fiscal Control Act: <br /> r <br /> Office of the Chief Financial Officer � Date: <br /> Leval Services <br /> This agreement is approved as to legal form an ufficiency: <br /> Office of the County Attorney Date: J�6 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydg—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 />