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DocuSign Envelope ID:466BC84F-2491-482F-9ECF-E665A2F18724 <br /> DS <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Civil Consultants, Inc. Party/Vendor Contact Person: Tony Whitaker Contact Phone: 919- <br /> 943-8414 Party/Vendor Address: 3708 Lyckan Parkway, Suite 201 City Durham State: NC Zip: 27707 <br /> Department: AMS Amount: $14,500 Purpose:Design Services Budget Code(s): 61370035-880000-10051 Vendor <br /> # 62089 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New <br /> ® Renewal ❑ Amendment ❑ Effective Date 2/27/2019 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 /> DocuSigned& PbV*aln.dy- <br /> �W <br /> Department Director's Signatu Date:2/28/2019 <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 <br /> was addressed: <br /> Risk Management <br /> This agreement is approved for sufficien -- -oocuSigned by: '�rds,specifications,and requirements: <br /> Office of the Risk Management Office 166 LQV'ln.f 6 Date: 2/28/2019 <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: DocuSigned by: <br /> Office of the Chief Financial Offic Lr <br /> 4 � Date: 3/1/2019 <br /> 7NE5181 ACC1400. <br /> Legal Services <br /> This agreement is approved as t ' DocuSigned by: ' ficiency: <br /> Office of the County AttorneLEAA3D33ED8AW5__6� K6k'l5 Date: 3/4/2019 <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 />