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ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: NC DEPT OF TRANSPORTATION Party/Vendor Contact Person: MYRA FREEMAN <br /> Contact Phone: 919-707-4672 Party/Vendor Address: 1550 MAIL SERVICE CENTER City RALEIGH State:NC <br /> Zip: 27699-1550 Department: ORANGE PUBLIC TRANSPORTATION (OPT) Amount: 149,782 Purpose: <br /> FY2019 CTP 5311 GRANT(ADMIN PORTION ONLY-REVENUE) Budget Code(s): 10435005-445002 Vendor <br /> # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> ❑ Renewal ❑ Amendment ® Effective Date 7/1/2018 Approved by Board Yes®No❑ Agenda Date: <br /> 10/17/2017-,5-A <br /> This agreement is approved as to technical form and content <br /> �� <br /> Department Director's Signature Date: <br /> Information Technologies <br /> (Applicable only to hardtivare/sofhvare 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 Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management C�a Date: <br /> inancial Avices <br /> { <br /> This instrument has been pre-audited in the er r d the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer A Date: 11-4- <br /> Legal Services <br /> This agreement is approved as to legal form and sufficienc : <br /> 1 <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: r <br /> Revised 6/16 <br />