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DocuSign Envelope ID: EEE8E57E-302D-415C-9356-8F5DD82FB3CA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Landmark Surveying Party/Vendor Contact Person: Douglas R. Yarbroueh. Contact Phone: <br /> 919-229-6275 Party/Vendor Address: PO Box 839 City Graham State: NC Zip: 27253 Department: DEAPR <br /> Amount: $37,850.00 Purpose: Topo Survey Budget Code(s): 61370035 880000 20026 Vendor # 61370035 <br /> 880000 20026 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New N Renewal ❑ Amendment ❑ Effective Date 10/29/18 Approved by Board Yes❑ NoE Agenda <br /> Date: <br /> This agreement is approved as to rwrhniral form and rr)ntent: <br /> DocuSigned by: <br /> C1)611CFA1D507A495� �f � 10/18/2018 <br /> Department Director's Signatu I3<itc: <br /> .. <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 Date: <br /> Risk Manay_cnient <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk.Management Off.C17FDCF9176900498 US& Chvw,{�b Date:10/18/2018 <br /> . <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 Offic Cl-cf-A Date: 10/19/2018 <br /> 7NE5181ACC1469... <br /> Leiial Services <br /> This agreement is approved as to leiral form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorn �6&) . K6�ufs Date: 10/19/2018 <br /> EAA3D33ED&AW5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersollAorang-e:countync.gov <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 Date: <br /> Revised 1 0117 <br /> 9 <br />