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DocuSign Envelope ID:4605AC24-8874-4984-82E5-2BC4747E10A7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: R.L. Bradsher Contracting, Inc. Party/Vendor Contact Person: Shelly Bell Contact Phone: <br /> 919.872.5174 Party/Vendor Address: 3729 Overlook Road City Raleigh State: NC Zip: 27616 Department: DEAPR <br /> Amount: $3,750. Purpose: Provide Infield Mix for construction project Budget Code(s): 61370035 880000 20039 <br /> Vendor# 64738 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date November 6, 2017 Approved by Board Yes❑ No <br /> Agenda Date: <br /> 1 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature j?a.M1 SfalA,ut 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 /> s <br /> 1 <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 Qtistk. (,6V1At0 Date: <br /> 7FDCF9176800498... t <br /> 1 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: j <br /> DocuSigned by: I <br /> Office of the Chief Financial Officer Officer (714..16A , n C/7 Date: <br /> 7D4E5181ACC14�09_. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney - r610.vfS 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 @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 />