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DocuSign Envelope ID:F4AB36D7-6659-49D9-816A-AC4ABC1AF4D6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Wellsmont Landscaping Party/Vendor Contact Person: Doug Malinowski Contact Phone: 919- <br /> 810-6282 Party/Vendor Address: 1005 Dimmocks Mill Road City Hillsborough State: NC Zip: 27278 Department: <br /> Planning Amount: $3,480.00 Purpose: Mow and Clear Efland Sewer System Budget Code(s): 51360120-571000 <br /> Vendor# 64686 (N/A if new vendor) Vendor is a BOCC consultant'? Yes ❑ No Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 8/23/17 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to kAisforegtond content: <br /> Department Director's Signatur Cr0 1/ a1 Date: 8/22/2017 <br /> 846D1ODA3CFD4C2... <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 ofkal �"�ys'taandards,specifications,and requirements: <br /> [(USX CortAC116 8/22/2017 <br /> Office of the Risk Management Officer Date: <br /> ' 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in theeo ng�rnrycquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � p `,,°" '`"` Date: 8/22/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as t ^g�,1„� d sufficiency: <br /> Office of the County Attorne Jb �o� S Date: 8/25/2017 <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 5 <br />