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DocuSign Envelope ID:472CD85E-796C-4E42-A730-E5366BB12016 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> PartyNendor Name: Richard Shaw Party/Vendor Contact Person: Richard Shaw Contact Phone: 919-998-9024 <br /> Party/Vendor Address: 207 S Camerson Street City Hillsborough State: NC Zip: 27279 Department: DEAPR <br /> Amount: $16.000 Purpose: Lands Legacy Consulting Budget Code(s): 6t3_70035 850000 20011 ($8,8Q0) <br /> 10610020 630000($7.200) Vendor#53127 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑NoM <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 1, 2019 Approved by <br /> Board Yes❑No® Agenda 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:Department Director's Signatur PaV4 �fi7L111 a Date:6/12/2019 <br /> Agreements for emergency service. s11cFA1D5o7A4s5.. ect 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 <br /> was addressed: <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 aUSX Cbl�6 Date: 6/17/2019 <br /> 7FDCF917e800498. E <br /> Financial Services III <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 1*1!NE5181ACC1400 <br /> .,,, ��wldte.. Date; 6/18/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DJocuSigned by: <br /> Office of the County Attorney �6U, K6 ufs i)"11C. 6/18/2019 <br /> El+AM33EDSAW5.. <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 />