R 2019-360 Planning - Friends of Lake Orange waiver indemnification agreement

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DocuSign Envelope ID:7CF6OB58-F95B-4FFA-9EO3-OFA429EC47E7 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Friends of Lake Orange Party/Vendor Contact Person: Kenneth D. Terlep Contact Phone: 919-732-9744 Party/Vendor Address: 4601 Eno Cemetery Road City Cedar Grove State: NC Zip: 27231 Department: Planning Amount: N/A Purpose: Waiver and Indemnification Agreement for Lake Orange Treatment of American Lotus by Friends of Lake Orange Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date June 28,2019 Approved by Board Yes❑No® Agenda Date:N/A This agreement is approved as to technical form and content: 6/21/2019 Department Director's Signature "s t `L Date: 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 of insurance standards,specifications,and requirements: Office of the Risk Management Officer[",S" Date:6/22/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: 6/24/2019 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney `s Date: 6/24/2019 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg soll(&oran eg countync. oovv The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Initial Waiver 8/18 5