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DocuSign Envelope ID:6C305CDD-0658-4BAA-BD53-5ADFDA07lD77 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sandhill Turf Party/Vendor Contact Person: Mechelle Criscoe Contact Phone:910-673-2177 <br /> Party/Vendor Address: PO Box 819 City Candor State: NC Zip: 27229 Department: DEAPR Amount: <br /> 26 460.00 Purpose: Sod for Soccer.com Budget Code(s): 10515020 630000 20026 Vendor#57836 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date Approved by 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 SignatureEli <br /> diW4 SfA�t ( Date: 7/2/2019 <br /> Agreements for emergency services611CFA1D507A405.. ct 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 /> I <br /> (Applicable only to hardwar•elsoftware 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 /> Office of the Risk Management Office aUS& (,6VlA.t,{f6 Date: 7/3/2019 <br /> 7FDCF0176800408. <br /> liinkincial 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 Officer7/5/2019 <br /> 11!D4E5181ACC1400 <br /> �• �o�wldye,. Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney , 6Lo, K6 uf5 _„ Date: 7/5/2019 <br /> El+A3DnED8AQ405.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@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 Roard Date: <br /> Revised 12/18 <br /> 8 <br /> I <br />