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DocuSign Envelope ID: F3521154- C880- 46B8- 90AF- D11277AFEAF7 <br />ORANGE COUNTY - -- DEPARTMENT USE ONLY - -- <br />Department <br />Party/Vendor Name: UNC- Chapel Hill Party/Vendor Contact Person: Brad Ives Contact Phone: <br />919.962.7243 Party/Vendor Address: 300 South BuildingCampus Box 1000 City Chapel Hill State: NC Zip: <br />27599 Department: Solid Waste Amount: County to receive up to $5,000 Purpose: recycling sort Budget Code(s): <br />2020 630000 Vendor # N/A (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br />(Check one) New ® Renewal ❑ Amendment ❑ Effective Date August 115, 2018 Approved by Board Yes❑ <br />No® Agenda Date: <br />This agreement is approved as to technical form and content: <br />Docu Signed by: <br />Department Director's Signature U� (Ma* <br />b <br />C!S B E H F 843690498... <br />Information Technologies <br />Date: 8/13/2018 <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 />DocuSigned by: <br />Office of Risk Management 96L L mU& Date: 8/10/2018 <br />7FDCF9176900498... <br />Financial Services <br />This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br />DocuSigned by: <br />Office of the Chief Financial Officer A.I. Date: 8/10/2018 <br />704E5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />DocuSigned by: ,{� <br />Office of the County Attorney 1 in A' �.ait, T vStb Date: 8/10/2018 <br />079A4D525C9F4FB... <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board Date: <br />Revised 10/17 <br />