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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : Moseley Architects Party/Vendor Contact Person : Dan Mace , IAI , VP Contact Phone : 803 - <br /> 431 -9448 Party/Vendor Address : 11430 North Community House Road , Suite 225 City Charlotte State : NC Zip : <br /> 28277 Department : AMS Amount : $24 , 793 Purpose : Detention Center : CO#2 Budget Code(s) : 61370035 - <br /> 870000A0051 Vendor # 55186 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ❑ Contract <br /> Type : (Check one ) New ❑ Renewal ❑ Amendment ® Effective Date Approved by Board Yes ❑ No <br /> ❑ 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 /> Department Director ' s Signature ? l Date . <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 /> 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 Officer �, Date : <br /> F nancia Services <br /> d <br /> This instrument has been pre- audited in the er r e by the Local Government Budget and Fiscal Control <br /> ct : <br /> Office of the Chief Financial Officer Date . Z <br /> Legal Services <br /> This agreement is approved as to legal for an suffi ' cy <br /> Office of the County Attorney Date : <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 />