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DocuSign Envelope ID:77ADDCE7-37BO-477F-A416-OC80FDF64CA2 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Summit Design & Engineering Services PLLC Party/Vendor Contact Person: fames Parke <br /> Contact Phone: 919-732-3883 PartyNendor Address: 504 Meadowland Dr City I-Illisborough State:NC Zip: 27278 <br /> Department: AMS Amount: $742.50 Purpose: Magistrate Floor Repair- Budget Codc(s): 10240320-63000 Vendor# <br /> 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ <br /> Renewal❑ Amendment ❑ Effective Date 1 1/3 0120 1 8 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form1921EF373Ar_D454EF_._ <br /> um. p6V*aJA,bocusigned by: <br /> Department Director's Signature Date: 11/29/2018 <br /> --- - <br /> Information Technologies <br /> (Applicable only to hardwarelsoftivare 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 il'""'ocusigned by: '" ""ecifications,and requirements:Office of the Risk Management Officer QUS& t_,DVLU& Date:11/30/2018 <br /> 7FDCF9176800498.-. <br /> Financial Services <br /> This instrument has been pre-audited in the mar Docusigned by: C Government Budget and Fiscal Control Act: <br /> Office of lthe Chief Financial Officer 7NE5181ACC1409.-. -- Gate. 11/30/2018 <br /> Legal Services <br /> This agreement is approved as to legal Docusigned by: <br /> Office of the County Attorney , 66U Dale-12/3/2018 <br /> EAAM33ED&A&W"5-.- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must he copied to Sherri Ingersoll upon completion: sin ersoll,,;oran ecountync.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 /> i <br /> Revised 10/17(Mgr appry Sk 6/18) 4 <br />