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DocuSign Envelope ID:928D532F-8E85-438B-A45F-55FACC1 BCOOA <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Wayne Oldham&Son House Moving Party/Vendor Contact Person: Daryle Oldham Contact <br /> Phone: 919-548-6641;darylepaschal @gmail.com Party/Vendor Address: 12901 Siler City-Glendon Road City Siler <br /> City State: NC Zip: 27207 Department: AMS Amount: NTE $22,000 Purpose: Sportsplex House Move Budget <br /> Code(s): 5353 0030 880000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/14/17 Approved by Board <br /> Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSignetl by: <br /> C w 8/15/2017 <br /> Department Director's Signature Date: <br /> gtbbUA4bCFb44gtl... <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> D Sig tlby: <br /> P p°°w 8/15/2017 <br /> Office of the Asset Management Directors ,,,„,g,,o Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> SocuSigned by: <br /> USA CorlAd6 8/29/2017 <br /> Office of the Risk Management Officer., , p,. Date: <br /> Financial Services <br /> OS <br /> rth5 <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> D Sig tlby: <br /> 8/31/2017 <br /> Office of the Chief Financial Officer " i — Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuS'g tlby: <br /> �olAv �ebw{s 9/1/2017 <br /> Office of the County Attorney Date: <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 /> Revised 2/17 6 <br />