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DocuSign Envelope ID:CAF7FF95-90BD-4B8F-A15B-0046D8AD9AA9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: J.B. Tree Service Party/Vendor Contact Person: Jeff Bracken Contact Phone: 919-602-0946 <br /> Party/Vendor Address: 7410 NC,Hwy 86 North City Hil€sborourh State: NC Zip: 27278 Department: DEAPR <br /> Amount: $650.0Q Purpose: Remove hazardous tree Budget Code(s): 10515020 630000 Vendor#52882 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 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 /> i <br /> DocuSigned by: <br /> Department Director's Signature Pa'tki . Sf�.l�t cif. Date: <br /> 6/11/2019 <br /> Agreements for emergency service. 911CFA1D507A495.. -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 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 /> DocuSigned by: <br /> Office of the Risk Management Office aUS46 Cb�6 Date: 6/11/2019 <br /> 7FDCF917e800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer[D0CUS1gnedby: <br /> j� ,,.wldse.. Date: 6/12/2019 <br /> 7D4E5181ACC1409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@oTangecountync.gov <br /> orangecountyne.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> DocuSigned by: <br /> Office of the Clerk to the Board1EAA=ED8MQ405.. <br /> 6J�, K6�t, fs Date:6/17/2019 <br /> Revised 12/18 4 <br />