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DocuSign Envelope ID: E08ABF96-EFE8-442B-BAD8-3439881BAE81 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle_Landsegping,Inc Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-730- <br /> 5267 PartyNendor Address: PO Box 144 City Stem State:NC Zip: 27581 Department: AMS Amount: $1,940.00 <br /> Purpose: Parking Deck Steps Budget Code(s): 10240320-570000 Vendor#62218 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No[] Contract'Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date <br /> 6/25/2019 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 /> DocuSigned by: <br /> Department Director's Signature F&J& oft*aA. Date:6/13/2019 <br /> 21 EFMACD454EF.. <br /> Agreements for emergency services or repair are not auDJccE Le dic aDDvt;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 Technololdes <br /> (Applicable only to har&varelsoftware pzo-chases 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 iiocu5igned 4y AA .necflcations,and requirements: <br /> a <br /> Office of the Risk Management Officer US& (,bV1n.t 6 Date:6/13/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the mai Docusigned'by: - tl Government Budget and Fiscal Control Act: <br /> o a <br /> Office of the Chief Financial Officer 4E51S1ACC1409. Date: 6/13/2019 <br /> 7D <br /> Legal Services <br /> This agreement is approved as to legal form Docusigned by: <br /> Office of the County Attorney �66 K6�t ,fs Date:6/17/2019 <br /> EAA=ED8A8435.. <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts roust be copied to Sherri Ingersoll upon completion: singetsoll@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 121tS 4 <br />