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DocuSign Envelope ID:3F5DFA23-EAEB-4F98-A868-F9A3E4B04BA7 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Open Broadband LLC Party/Vendor Contact Person: Alan Fitzpatrick Contact Phone: 704- <br /> 293-7864 Party/Vendor Address:PO Box 723 City Waxhaw State:NC Zip:28173 Department: IT Amount: $0 <br /> Purpose: To allow access to Tower for antenna placement Budget Code(s): 61370035/897085/30007 Vendor <br /> #65113 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No X Contract Type: (Check one)New X <br /> Renewal❑ Amendment ❑ Effective Date February 5,2019 Approved by Board Yes❑No X Agenda <br /> Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature 'm Date:2/6/2019 <br /> C11 BA91 E73A64DF... <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 /> DocuSigned by: <br /> Office of the Chief Information Officer 53., q&,. Date: 2/6/2019 <br /> C11 BA91 E73A64DF... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned <br /> ""by: <br /> ''ll� <br /> Office of the Risk Management Officer 59u,., rbvv�.t,TTb Date: 2/6/2019 <br /> 7FDCF9176800498... <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 /> Office of the Chief Financial Officer Date: 2/7/2019 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney 5;,1, E.W. Date:2/7/2019 <br /> 328DC480549MF5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync.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 />