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DocuSign Envelope ID:9D837DE1-58E6-47AF-80AC-29E747EBFFCE <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: S&ME Party/Vendor Contact Person: Samuel P. Watts Contact Phone: 9t9-872-2660 <br /> PartyNendor Address: 3201 Spring Forest Road City Raleigh State: NC Zip: 27616 Department: DEAPR <br /> Amount: $29,862.00 Purpose: Landfill Gas Survey at Former Hillsborough Landfill Budget Code(s): 61370035 <br /> 870000 20041 Vendor#52307 (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 NoE Contract <br /> Type: (Check one)New El Renewal 2 Amendment 0 Effective Date December 3,2018 Approved by Board <br /> Yes❑No[D Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature pave, sf"Lti� Date: 11/19/2018 <br /> 911:CFA1D507A495... <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 Manazement <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer 9USA (,6�6 Date: 11/26/2018 <br /> 7FDCF9176800498... <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 0max. &, . Date: 11/26/2018 <br /> --le704E5181ACC1409... <br /> LeV_al Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �r�GS NA, Date: 11/26/2018 <br /> 328DC490549A4F5.... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singgrsollQorangecountync.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 10/17 <br /> 10 <br />