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Revised 7/14 <br /> 4 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />NOT A CONTRACT EXHIBIT OR ATTACHMENT <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Terracon Consultant, Inc. Party/Vendor Contact Person: David B. Carver, <br />dbcarver@terracon.com Contact Phone: (919) 873-2211 Party/Vendor Address: 2401 Brentwood Rd., Suite 107 City <br />Raleigh State: NC Zip: 27604 Department: Planning & Inspection Amount: $3,000.00 Purpose: CMT Budget <br />Code(s): 34600020-870000-30046 Vendor # 60991 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br /> Contract Type: (Check one) New Renewal Amendment Effective Date 09/03/14 Approved by Board <br />Yes No Agenda Date: N/A <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Director of Information Technology___________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of Risk Management_____________________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br />DocuSign Envelope ID: EA0622FB-3DD4-44A5-954F-65E0383F6927 <br /> <br /> <br /> <br /> <br />