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DocuSign Envelope ID:7575179F-3CB8-48A1-9E78-77456CCAA535 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: NC State University Party/Vendor Contact Person: Mitch Poteat Contact Phone: 919-607- <br /> 0684 Party/Vendor Address: NC State Campus Box 7902 City Raleigh State: NC Zip: 27695-7902 <br /> Department: Solid Waste Amount: 8,650 Purpose: Hazwoper Training for 10 Employees Budget Code(s): <br /> 50353020-530000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date March 13,2019(service begins 4-15-19) <br /> 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 /> UocuSigned by: <br /> Znt Kozf, 3/15/2019 <br /> Department Director's Signature—1 690496 Date: <br /> 86E66F843 .. <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 QocuSigned by: s,specifications,and requirements: <br /> aura c6m&6 3/17/2019 <br /> Office of the Risk Management Officer_ 7FDCF9176900498. Date: <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 Officer CCU Datc:3/19/2019 <br /> 704E59S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to oocusigned by: f� <br /> �irt Ak f-A.Y'it, vS(h 3/20/2019 <br /> Office of the County Attorney Date: <br /> 079A4D525C0F4Fg. <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 />