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DocuSign Envelope ID: FD04EB21-1B66-4976-A512-B962E60F9660 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Fairway Outdoor Advertising of Raleigh Party/Vendor Contact Person: Tim Craven Contact <br /> Phone: 919-948-7563 Party/Vendor Address: 5200 Atlantic Ave. City Raleigh State: NC Zip: 27616 Department: <br /> Account Mana eg ment Amount: 800 Purpose: Billboard Budget Code(s): 10215220-600000 Vendor#817522 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date 8/19/19 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 /> s,� M: <br /> Department Director's Signature[EB Date:5/23/2019 <br /> :ss�nnann <br /> Agreements for emergency services or repair are not subject 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 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 /> 58 dhy <br /> CKS',� fan 6 <br /> Office of the Risk Management Office Date:5/23/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ❑ sated ny: <br /> 5/23/2019 <br /> Office of the Chief Financial Office " �" �"` Date: <br /> 1ACC11CF! <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ❑ sa�ey 5/23/2019 <br /> Office of the County Attorne QI'`a'`-` �� �bsca _Date: <br /> ?nA.y�S==Ci.F=Fa <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 4 <br />