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DocuSign Envelope ID:6FA136E5-CCFC-44EC-ABB2-30DE27CF0910 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Rachel Cotterman Party/Vendor Contact Person: same Contact Phone: (919) 593-5297 <br /> Party/Vendor Address: 4720 Silver Apples Road City Hillsboroueh State: NC Zip: 27278 Department: DEAPR <br /> Amount: L960 Purpose: Historic resources book documenLary and historial research Budget Code(s): 10610020 <br /> 630000 Vendor#65424 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:(Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date March 12, 2019 Approved by Board Yes❑ No® <br /> Agenda Date:NIA <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 Signature PAV41 SfO� lL Date: 3/12/2019 <br /> Agreements for emergency services or repair are not s1,CFa,D507Aa95. 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: NIA <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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 /> DocuSigned by: <br /> Office of the Risk Management Officer aUS& cbl^ln.th Date:3/13/2019 <br /> 7FDCF917e800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner reuuired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer —Er I-cf-A 4 Date: 3/13/2019 <br /> 704E5181ACCAN <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �w s aU' Date: 3/13/2019 <br /> i <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 12118 4 <br />