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DocuSign Envelope ID:544B352E-06D3-4ECA-9960-8B629C1C448E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: S&ME Party/Vendor Contact Person: Samuel P. Watts Contact Phone: 919-872-2660 <br /> Party/Vendor Address: 3201 Spring Forest Road City Ralei State: NC Zip: 27616 Department: DEAPR <br /> Amount: $29,862 original+$2,620.05_for this amendment Purpose: Landfill Gas Survey at Former Hillsborou~h <br /> Landfill: additional day of gas sampling Budget Code(s): 61370035 870000 20041 Vendor # 52307 (NIA if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one)New❑ Renewal ❑ <br /> Amendment M Effective Date December 3.2018 Approved by Board Yes❑No® Agenda Date:NIA <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature P"J" Sfoud. Date: 12/7/2018 <br /> 911CFA1D507A495... <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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: <br /> Office of the Risk Management Officer aUsa (,6�6 Date:12/8/2018 <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 /> DocuSigned by: <br /> --[ <br /> Office of the Chief Financial Officer s�gx.wra Date:12/11/2018 <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney 1L5 �. Date: 12/11/2018 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoil@orangecountync.goy <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 10117 <br /> 1Q <br />