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DocuSign Envelope ID:69AD1F06-F34D-47CE-9E90-CAC736E68170 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Terracon Party/Vendor Contact Person: Ryan Pratt (Ryan.Pratt(a)terracon.com) Contact Phone: 919.436.25 <br /> Address: 2401 Brentwood Rd, Ste 107 City Raleigh State: NC Zip: 27604 Department: AMS Amount: $10,679.18 Purpose: Y <br /> Services Required to Complete Project. Budget Code(s): 54540030-880000 Vendor# 60991 (N/A if new vendor) Vendor is a F <br /> Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 12-6-2018 Approved by Boar <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature[ P1"'R ftm, Date: 12/20/2018 <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and <br /> � <br /> Office of the Asset Management Directo� �mv, Date:12/20/2018 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office QGs� �a��#f° Date: 12/21/2018 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PL Office of the Chief Financial Officer Date:4/15/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �' wf s Date 4/16/2019 <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 10/17 <br />