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ao Iq -aoa_ <br />ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party/Vendor Name: NCDOT Party/Vendor Contact Person: DeAngelo Jones, Sr. Asst. District Eng. Contact <br />Phone: 336 -570 -6833 Party /Vendor Address: P. O. Box 766 City Graham State: NC Zip: 27253 Department: <br />Planning Amount: N/A Purpose: EA 16 -1A Bicycle Safety Signs Budget Code(s): N/A Vendor # (N /A if � C) <br />new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br />Amendment F-1 Effective Date Upon BOCC action and NCDOT approval Approved by Board Yes❑ No❑� (V)A u <br />Agenda Date: June 5, 2018 ( Q <br />This agreement is approved as to technical form and conten <br />Department Director's Signature Date: *2 <br />Craig Bene is , arming and Inspections Dept. <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 />This instrument has been pre- audited <br />Act: <br />Office of the Chief Financial Officer <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />ment Budget and Fiscal Control <br />Date: <br />C <br />Office of the County Attorney j Date: <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board Date: <br />Revised 10/17 <br />