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DocuSign Envelope ID: EED1436F-A6DD-40E9-BE68-FFBF6AF84800 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Agri-Waste Technology,_Inc. Party/Vendor Contact Person: Chris McGee Contact Phone: 919- <br /> 859-0669 Party/Vendor Address: 501 N. Salem St, Suite 203 City AA2ex State:NC Zip:27502 Department: DEAPR <br /> Amount:$2,400 Purpose:soil testine Budget Code(s):61370035 880000 20037 Vendor#61546 (NIA if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 2/2 512 0 1 9 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 Signatu av Pw SfOLA Date:2/25/2019 <br /> Agreements for emergency servic-__s,,c A,0s07Aass__--ibject 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 hardwarelsoflware purchases or relater!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 /> (h �6 <br /> C17FDCF917680OL98. <br /> Office of the Risk Management Officeusa. 11[[ Date: 2/26/2019 <br /> Financial Services Ds <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Docusigned by: <br /> Office of the Chief Financial Offic ('� �"�" °'� Date: 2/26/2019 <br /> 704E51S1ACC1400. <br /> Legal Services <br /> This agreement is approved as-10 1 f^%_ —A."fficienc : <br /> 1}p Docusigned by: y <br /> Office of the County Attorn �6LW Kbk�,fs Date:2/26/2019 <br /> EAA3MaED&AW&- <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 />