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DocuSign Envelope ID:22367E6B-5942-47DA-B321-4ACB7F6086D4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: The EI Group, Inc Party/Vendor Contact Person: Adam Underwood Contact Phone: <br /> 919.657.7500 Party/Vendor Address: 2101 Gateway Centre Boulevard Suite 200 City Moorisville State: NC Zip: <br /> 27560 Department: N/A Amount: $1,695 Purpose:Noise Survey Budget Code(s): 61370035 870000 20039 Vendor <br /> # 51954 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date N/A Approved by Board Yes❑No® Agenda Date:N/A <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 /> pawl <br /> by: <br /> pawl �f�r� 6/14/2019 <br /> Department Director's Signature 611cFA1D507A405.. Date: <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 c- Docusigned by: - - , specifications,and requirements: <br /> &A c4Wt&6 6/14/2019 <br /> Office of the Risk Management Officer_ 7FDCF0170800408. Date: <br /> Financial Services <br /> This instrument has been pre-audited in(—Docusignea by: he Local Government Budget and Fiscal Control Act: <br /> 4' � 6/14/2019 <br /> Office of the Chief Financial Officer 7D4E5181A=40s. Date: <br /> Legal Services <br /> This agreement is approved as to leD328DC490549A4F5. <br /> ' Uocusigned"by: __ ' ncy: <br /> Office of the County Attorney_ LLS Eou Date: 6/17/2019 <br /> . <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 />