R 2019-345 DEAPR - Solitude Lake Management Twin Creeks pond

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DocuSign Envelope ID: EE23F468-2756-49BC-81A9-835B92DOE90E ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Solitude Lake Management Party/Vendor Contact Person: Trent Nelson Contact Phone: 336- 442-2680 Party/Vendor Address: 2844 Crusader Circle City Virginia Beach State: VA Zip: 23453 Department: DEAPR Amount: $3,500 Purpose: Electro Shock Fish Removal from Twin Creeks Park Budget Code(s): 61370035 870000 20039 Vendor#65690 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 6/13/19 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical r DocuSigned by: awl �faj&6[ 6/17/2019 Department Director's Signature Date: 611CFA1D507A495.. Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency DocuSigned by: is,specifications,and requirements: 11US66 �,bVln.t,{�6 6/17/2019 Office of the Risk Management Officer_ 7F❑CF9176900498. Date: Financial Services This instrument has been pre-audited in th Docusigned by: Local Government Budget and Fiscal Control Act: A .&I. 6/17/2019 Office of the Chief Financial Officer 7DaE5aa1ACC14H. Date: Legal Services This agreement is approved as to le DocuSigned by: Cy: �c GS aj)u 6/18/2019 Office of the County Attorney Date: 328DC480549A4F5.. Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin_erp sollgoran eg coun. c._ov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 10/17(Mgr appry 5k 6/18) 4