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DocuSign Envelope ID:C5E COO 12-B28F-4D4C-A742-15C2F203520C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Barlett Tree_Everts Party/Vendor Contact Person: Kevin Riegner Contact Phone: 919-687- <br /> 0776 Party/Vendor Address: 5808 Triangle Drive City Raleigh State:NC Zip:27617 Department:DEAPR Amount: <br /> 730 Purpose: Tree Maintenance Budget Code(s): 10515020 630000 20037 and 10510020 630000 Vendor # 63998 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ No® Contract Type: (Check one)New® Renewal <br /> ❑ Amendment ❑ Effective Date Mril I0,2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> q� <br /> DocuSigned by: <br /> Department Director's Signature Pd1.W4 SfAG�. Date:4/11/2019 <br /> Agreements for emergency services c 911CFA1D507A405.. _ t 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 was <br /> addressed: <br /> Information Technologies <br /> (Applicable only to hardwarelsnfhvare purchases ar 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 /> DocuSiggned by: <br /> Office of the Risk Management Officer QU56 (,4�6 Date: 4/11/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office]CDOCUSIgnedby: <br /> ���, a.,I(/".. Date:4/14/2019 <br /> 7NE5481ACC1409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> , <br /> DlocuSigned by: <br /> Office of the County Attorne 6U), K6 uf5 Date:4/16/2019 <br /> EAA=ED8A8405.. <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 />