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DocuSign Envelope ID:341CF104-EB06-41CA-A2D2-F25E48FB1B6A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> PartyNendor Name: CALYX Engineers_and Consultants PartyNendor Contact Person: Wendell R. Ball Contact <br /> Phone: 919-858-1876 Party/Vendor Address: 6750 Tryon Rd City C. ary State:NC Zip: 27518 Department: DEAPR <br /> Amount: $4,500 Purpose:Too Survey work to develop turning lanes on 86 Budget Code(s):61370035 870000 20037 <br /> Vendor#NIA (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New <br /> ® Renewal❑ Amendment ❑ Effective Date 4123/19 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 /> QocuSigned by: <br /> Department Director's Signatur Cl)"L(I SfOL�( Date: 4/23/2019 <br /> Agreements for emergency service.,. 61�YFA,D507A49 ....eject 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 Technoloeies <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 sufficienev of insurance standards,specifications,and requirements: <br /> QocuSigned by: <br /> Office of the Risk Management Offic &A t_,DVln.t& Date: 4/23/2019 <br /> 7FDCF9176900498. <br /> Financial Services O5 <br /> �L <br /> This instrument has been pre-audited in the manner reanired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Offic 4 � Date:`5/1/2019 <br /> 704E5981ACC1409. <br /> Legal Services <br /> This agreement is approved as to]Pant form and zlifftciency: <br /> DocuSigned by: <br /> Office of the County Attorne[�6�i, P ,fs Date: 5/2/2019 <br /> EAA3D33ED&AW5.. <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 />