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ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: NCDOT/PTD Party/Vendor Contact Person: Myra Freeman Contact Phone: 919.707.4672 <br /> Party/Vendor Address: 1550 Mail Service Center City Raleigh State: NC Zip: 27699-1550 Department: OPT <br /> Amount: 106,451.00 Purpose: FY2018 Grant Agreement CTP Capitol Budget Code(s): 10435030-802000 / <br /> 72435030-802000 / 10435030-800000 Vendor # (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 07.01.2017 <br /> Approved by Board Yes®No❑ Agenda Date: 10.18.2016/5-a <br /> This agreement is approved as to technical form and c nt: / / <br /> Department Director's Signature �� Date: /O�` q/"T <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: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management �o Date:�l? <br /> F'nan ' Ser es <br /> This instrument has been pre-audited in the a qu' e y the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and ficiency: <br /> Office of the County Attorney ✓ Date: ro <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br />