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DocuSign Envelope ID:84FEED65-C734-4847-8E30-55FF579C2681 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Boomerang Design, PA Party/Vendor Contact Person: Angela Crawford Easterday <br /> (acrawford(&thinkboomeran,g com) Contact Phone: 919.573.6403 Party/Vendor Address: 6131 Falls of Neuse <br /> Road, #204 City Raleigh State: NC Zip: 27609 Department: AMS Amount: NTE: $90,000 Purpose: Moisture <br /> Mitigation and design for John Link Jr. Government Services Building Budget Code(s): 61370035 870000 10069 <br /> Vendor#61974 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 3/15/19 Approved by Board Yes❑ No® Agenda <br /> 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 /> m 3/13/2019 <br /> Department Director's Signature C '" Date: <br /> „ <br /> Agreements for emergency services or repr air 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: N/A-No work has started <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office kG �a��#f° Date:3/zo/2o19 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P[, Act: o�vsa <br /> Office of the Chief Financial Office s Date:4/3/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date:4/5/z019 <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 />