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DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Boomerang Design, P.A. Party/Vendor Contact Person: Angela Crawford Easterday <br /> (ACrawford(a)thinkboomerang com) Contact Phone: 919.573.6403 Party/Vendor Address: 6131 Falls of Neuse <br /> Road Ste 204 City Raleigh State: NC Zip: 27609 Department: AMS Amount: NTE $70,000 Purpose: Provide <br /> construction administration services for the ES Remediation/Renovation Project Budget Code(s): 61370035- <br /> 870000-10068 Vendor# 61974 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 3/1/19 Approved by Board Yes®No <br /> ❑ Agenda Date:2/5/19 <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 /> Department Director's Signature ""` � "�S Date:3/4/2019 <br /> Cs <br /> Agreements for emergency services or repair arenot 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: N/A <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 /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office QGs� Date:3/4/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> PL Act: <br /> Office of the Chief Financial Officer r�I°N Date:3/5/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney rovh Date:3/5/2019 <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 />