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DocuSign Envelope ID:49DCCCCF-BDED-4EDB-A3D5-579B6C96F48E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: TischlerBise Party/Vendor Contact Person: Carson Bise Contact Phone: 304-320-6900 <br /> Party/Vendor Address: 4701 Sangamore Road City Bethesda State: MD Zip: 20816 Department: Planning & <br /> Inspections Amount: $50,480 Purpose: Development-Related fiscal/Economic Model Budget Code(s): 10620020- <br /> 630000 Vendor# 56683 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 6/28/19 Approved by Board Yes❑ No❑ <br /> 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 /> �rN.O_ocuSign2e..dby: <br /> Department Director's Signature "' alo Date: 6/21/2019 <br /> Agreements for emergency services 846D10DA3CFD4c2. - t 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 /> 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 /> . <br /> Office of the Risk Management Officer ausa, ( r 6 Date: 6/21/2019 <br /> 7FDCF9176900498. <br /> Financial Services <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 A .II. Date: 6/21/2019 <br /> 754E5981ACC1469. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> UocuSigned by: <br /> Office of the County Attorney Jam's ou Date:6/24/2019 <br /> 328DC480549A4F5.. <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 />