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DocuSign Envelope ID: E7142D2A-ECCC-4A8A-9358-6F13D428AC6D <br /> i <br /> I <br /> i <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> I <br /> I <br /> Party/Vendor Natne: Eastern Turf Maintenance Ins, Party/Vendor Contact Person: Brad Sutton Contact Phone: 919- <br /> 669-8923 Party/Vendor Address: 3305 Anvil Place City Raleigh State: NC Zip: 27603 Department: DEAPR <br /> Amount: $3075.00 Purpose:Maintenance on ballfields at Cedar Grove Park Budget Code(s): 10515020 630000 20002 <br /> Vendor# 62563 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New M Renewal ❑ Amendment ❑ Effective Date Jan 10 Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature � M*J 5f mkt Date:1/8/2019 <br /> Agreements for emergency services 611CFA1D507A405.. -,ct 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 was <br /> addressed; <br /> Information Technologies <br /> (Applicable only to haralvarelsoftivare 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 aUS& (Ovllt,t,{f6 Date: 1/9/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial OfficeCDOCUsignedby: <br /> ���, VC.'IM".. Date: <br /> 1/9/2019 <br /> 7D4E5181ACC1400 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by:`,,� <br /> Office of the County Attorue 6l�), K6�t vfs Date:1/10/2019 <br /> , <br /> EAAM33ED8AW5.. <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll©orangecountyne.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the CIerk to the Board Date; <br /> Revised 12118 4 <br /> i <br />