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DocuSign Envelope ID:74F90525-OA41-4746-B7F1-101944939562 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> PartyNendor Name: Carolina Green Corp. Party/Vendor Contact Person: Kerry Price Contact Phone: 866-753- <br /> 1707 PartyNendor Address: 10108 Indian Trail-Fairview Road City Indian Trail State: NC Zip: 28079 <br /> Department: DEAPR Amount: $15,834 Purpose: W10 Spring Renovation Budget Code(s): 10515020 630000 <br /> 20026 Vendor#55230 (N/A if new vendor) Vendor is a BOCC consultant? Yes ® No❑ Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date April 17,2019 Approved by Board Yes❑ <br /> No❑ Agenda Date:N/A <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 /> DocuSigned by:Department Director's Signature Paw*j. �fi7Llll.a Date: 4/25/2019 <br /> Agreements for emergency services 611cFA1D507A405.. ct 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 Technolotries <br /> (Applicable only to hardwarelsoftware 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 /> DocuSigned by: <br /> Office of the Risk Management Office Qusa L pp.DWt.t,{f6 Date: 4/25/2019 <br /> 7FDCF0176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer �j��, VC.'IMye.. Date: 4/26/2019 <br /> 7o4E54a1Acc14os <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney , 6Lo, K6 ufs Date:4/26/2019 <br /> El+AMnEDgM405.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts muss 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 />