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DocuSign Envelope ID:21361331 DE-l3C97-4l3FF-A701-2800E35816l3C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Dickerson Fencing Inc. Party/Vendor Contact Person: Will Dickerson, III Contact Phone: <br /> (919) 596-6765 Party/Vendor Address: 202 North Hoover Rd City Durham State: NC Zip: 27703 Department: <br /> Solid Waste Amount: $31,600 Purpose: Provide and Install Three Gates Budget Code(s): 50352020-630000 <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date May 8,2019 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 /> DocuSigned by: <br /> Department Director's Signatureb� �lta5 Date: 5/6/2019 <br /> Agreements for emergency services or 88EeEF843690496 . o 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 Technologies <br /> (Applicable only to hardware/software 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 Officer <br /> aUS66 LQ 6 Date: 5/7/2019 <br /> 7FDCF9176800498. <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 ('q 0 Date: 5/8/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal fern,and sufficiency- <br /> DocuSigned by: <br /> � <br /> Office of the County Attorney �k ftA�'it, -1 l_�S� Date:5/8/2019 <br /> 079A4D525C0F4FB. <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 /> 8 <br />