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DocuSign Envelope ID: E3E85C1C-F7DB-4D18-A097-5D3D408C08DA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Tower Engineering Professionals, Inc Party/Vendor Contact Person: John Goins Contact <br /> Phone: (919) 703-4129 Party/Vendor Address: 326 Tryon Road City Raleigh State: NC Zip: 27603-3530 <br /> Department: IT Amount: $9600.00 Purpose: Tower Mapping and Structural Analysis Budget Code(s): <br /> 10315020/571000 Vendor#65560 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date February 20, 2019 Approved by Board <br /> Yes❑No® Agenda Date:N/A <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 /> Department Director's Signature 4&Kvf DateZ/19/2019 <br /> Agreements for emergency services or repair are no�i'su jecDo 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 /> Risk Management <br /> This agreement is approved for sufficiency of insur_____;_ A_ A_ -" fications,and requirements: <br /> DocSigneI <br /> US66 (,bV1n. 6 <br /> Office of the Risk Management Officer Date: 2/19/2019 <br /> 7FDCF9178800498. <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 /> Office of the Chief Financial Officer 17D4ES181ACC1400 <br /> q 4 � Date:2/22/2019 <br /> . <br /> Legal Services <br /> This agreement is approved as to legal forrr DocuSigned by: <br /> �cu IGS aj)u 2/22/2019 <br /> Office of the County Attorney Date: <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 <br /> 8 <br />