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DocuSign Envelope ID:6FOB1F55-A30E-4871-9746-BB79F11F8898 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: SCS Engineers, PC Party/Vendor Contact Person: Robert E Dick Contact Phone: 804-378- <br /> 7440 Party/Vendor Address: 15521 Midlothian Turnpike Suite 305 City Midlothian State: VA Zip: 23113 <br /> Department: Solid Waste Amount: $89,999 Purpose: Development of Initial Planning Documents for a Regional <br /> Integrated Materials Management Facility Budget Code(s): 50351020-630000 Vendor#N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 12-28-16 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> UocuSigned by: <br /> Department Director's Signature � � MlLs6k, Date: 1/23/2017 <br /> &E7B3F604A144E2... <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 /> Docusigned by:a <br /> Office of the Risk Management Officer USA c6nU�t�6 Datel/23/2017 <br /> 7FDCF917E800498... <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 /> Docu5igned by: <br /> Office of the Chief Financial Officer I 4 � Date: 1/24/2017 <br /> 7D4E5181 A=409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiencv: <br /> DocuSigned by: <br /> h <br /> Office of the County Attorney ,JW S a' Date: 1/26/2017 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydaorangecountync• og_v <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 <br /> 9 <br />