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DocuSign Envelope ID: CF08811 B -991 E- 4A3C- 87AA- FE61013F9A61 <br />ORANGE COUNTY DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: McQueen Construction_ Inc. Party/Vendor Contact Person: Harvey McQueen Contact Phone: 919 -697- <br />0614 Party/Vendor Address: 619 Patrick Rd City Bahama State: NC Zip: 27503 Department: DEAPR Amount: 63,00(} <br />Purpose: Construct a parking area Budget Code(s): 61370035 880000 20028 Vendor # 59479 (N /A if new vendor) Vendor <br />is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br />December 12, 2017 Approved by Board Yes❑ NoZ Agenda Date: <br />This agreement is approved as to to rAniral farm anti rrontent: <br />DocuSigned by: <br />Department Director's Signatu <br />811 CF,3.1 D507A455... <br />Asset Management <br />Date: 12 /18/2017 <br />(Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services <br />content and specifications: <br />Docu5igned by: <br />Office of the Asset Management Direc �-# 740.v °ll Date: 12/18/2017 <br />9EMCMGCF64408... <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DacuSigned by: <br />Office of the Risk Management Offi USA c6 m&6 Date: 12/18/2017 <br />C17FDCF9176900498 <br />Financial Services <br />This instrument has been pre- auditer0 - p°cu5igned by: � ° """ 4 by the Local Government Budget and Fiscal Control Act: <br />Office ofthe Chief Financial Offi 41.441. Date:12 /18/2017 <br />704E5181ACC1409... <br />Leual Services <br />This agreement is approved ae to Laval fnrm anal sufficiency: <br />UocuSigned by: <br />Office of the County Attor �66 KkA Date: 12/18/2017 <br />EAAM33EMAW5... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.goy <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 <br />Revised 10117 10 <br />Date: <br />