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DocuSign Envelope ID:C302C384-OB14-4914-9651-159FB26527CF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Tower Engineering Professionals, Inc. Party/Vendor Contact Person: John Goins Contact <br /> Phone: 919.661.6351 Party/Vendor Address: 326 Tryon Road City Raleigh State:NC Zip: 27603-3530 Department: <br /> IT Amount: $3300.00 Purpose: 510 Meadowlands Tower Mapping and Structural Analysis Budget Code(s): <br /> 10315020/571000 Vendor#pending (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 2/14/2019 Approved by Board Yes❑No <br /> ® 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 /> J <br /> im 4�DocuSigned by: <br /> Department Director's Signature Date: 2/17/2019 <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 was <br /> 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 conten*^-ooeusign a er`' " <br /> Office of the Chief Information Officer I <br /> 4� Date: 2/17/2019 <br /> C116A91E73A64DF.. <br /> Risk Management <br /> This agreement is approved for sufficiency of insura„-P �Pif'Cations,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer aUS& "_WA6 Date: 2/17/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been re-audited in the manner--- = a' `' T - ^wernment Budget and Fiscal Control Act: <br /> 1� �ocuSigned by: g <br /> Office of the Chief Financial Officer <br /> 41 � Date: 2/18/2019 <br /> ::�E7NE5181ACC1400. <br /> Legal Services <br /> This agreement is approved as to legal form and rh DocuSigned by: <br /> Office of the County Attorney JamGS _ �` Date: 2/18/2019 <br /> 328DC480549A4F5.. <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 4 <br />