Orange County NC Website
DocuSign Envelope ID:C45DFA6C-92F3-4839-B706-86E6F192C696 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: NC DEO Division of Water Resources Party/Vendor Contact Person: Rob Emens Contact <br /> Phone: 919-707-9012 Party/Vendor Address: 1611 Mail Service Center City Ralei h State: NC Zip: 27699-1611 <br /> Department: Planning Amount: $3,600 Purpose: Hydrilla Contol at Lake Orange Budget Code(s): 10695020-720013 <br /> Vendor#27873 remit 13 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date Julyl, 2016 Approved by Board Yes❑ No® <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> UocuSigned by: <br /> Department Director's Signatur C6846D10DA3CFD4r_2...o b.ru Date: 4/29/2016 <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 Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> UocuSigned by: <br /> Office of the Risk Management Office aUm ChVlhd6 Date: 5/2/2016 <br /> 7FDCF91743800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act: <br /> UocuSigned by: <br /> Office of the Chief Financial Office Cr7NE5181ACC1409-. G Date: 5/2/2016 <br /> Legal Services <br /> This agreement is approved as t^1­1 f�ig­ey`4� fficiency: <br /> Office of the County Attorne C�8&)' Pk►'l5 Date: 5/3/2016 <br /> EAAM33ED8AW5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydko rangecountync._oovv <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 1/16 5 <br />