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ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party/Vendor Name: NCDOT 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 Department: OPT Amount: <br />$179,963.00 Purpose: FY2018 Grant Agreement CTP -5311 Budget Code(s): 10435030/802000 /72435030- <br />802000/10435030 - 800000 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br />Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 07.01.2017 Approved by Board <br />Yes® No❑ Agenda Date: 10. 18.2016 / 5 -a <br />This agreement is approved as to technical form and conte t: <br />Department Director's Signature l D ate: <br />°�� %g <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of Risk Management Date: �. <br />Financial Services <br />This instrument has been pre - audited in the ann e ed by the Local Government Budget and Fiscal Control <br />Act: <br />Office of the Chief Financial Officer Date: <br />Lej4al Services <br />This agreement is approved as to legal fo 4u cie y: <br />Office of the County Attorney Date: <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board Date: <br />5�g <br />Revised 10/17 <br />