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DocuSign Envelope ID: ED487F6F-CC82-456D-AD07-A924ACB3D343 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Mauldin and Jenkins Party/Vendor Contact Person: Joel Black Contact Phone: 678-589- <br /> 5102 Party/Vendor Address: 200 Galleria Parkway S.E. Suite 1700 City Atlanta State: GA Zip: 30339 <br /> Department: Finance and Administrative Services Amount:N/A Purpose: Extended Due Date Request for External <br /> Audit Submission Budget Code(s): 10230020-630000 Vendor#63752 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> 12/18/2018 Approved by Board Yes®No❑ Agenda Date: 12/18/2018 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> Docusigned by: <br /> 41 .e.4ra. 12/28/2018 <br /> Department Director's Signature Date: <br /> 704E5981ACC1409. <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: N/A <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 insl Qocusigned by: ifications,and requirements: <br /> aura (,4�6 1/7/2019 <br /> Office of the Risk Management Officer 7FDCFe176900498. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> A.&I. 12/28/2018 <br /> Office of the Chief Financial Officer 7NE5181ACC140s. Date: <br /> Legal Services <br /> This agreement is approved as to legal for DocuSigned by: <br /> 1/7/2019 <br /> Office of the County Attorney 4035CB8304CA4Ae Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 /> Revised 12/18 <br />