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DocuSign Envelope ID: E39A7F34-1956-4F98-91AB-121A6B293FOE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Douglas P. Malinowski Party/Vendor Contact Person: Douglas P. Malinowski Contact <br /> Phone: 919-810-6282 Party/Vendor Address: 1005 Dimmocks Mill Road City Hillsborough State:NC Zip:27278 <br /> Department: Planning Amount: $9,967.50 Purpose: Selective Vegetation Management and Slope Stabilization at <br /> Lake Orange Dam Budget Code(s): 51360120-571000 Vendor#64686 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> February 1,2019 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> $i° "" 2/4/2019 <br /> Department Director's Signature Date: <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: <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 /> 5g "Y Q�Sa 6 <br /> Office of the Risk Management Officer, ovtu{fo 2/4/2019 <br /> Date: <br /> soeFs�ieeeeas_. <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 /> „y Office of the Chief Financial Officer Date: 2/4/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 2/4/2019 <br /> Office of the CountyAttorney L xw,y��« 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 /> 9 <br />