Orange County NC Website
DocuSign Envelope ID: E072F6F1-BE22-479A-BD75-1B75EF0994D6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Foster Lake & Pond Mana eg ment Party/Vendor Contact Person: Patti Salevan Contact Phone: <br /> 919-772-8548 Party/Vendor Address: PO Box 1294 City Garner State: NC Zip: 27529 Department: DEAPR <br /> Amount: $2,700 Purpose:Pond Management at BFP Budget Code(s): 10515020 630000 20037 Vendor#64409 (N/A <br /> if new 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature PAMJ. Sfm� ( Date: <br /> 7/3/2019 <br /> Agreements for emergency services 811CFA1D507A405.. '.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 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 of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Office QUSa 7/10/2019 <br /> (,4V'In.t,{fb Date: <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Office C*1!D4E5181ACC1409 <br /> .. , a.,I(/se.. Date: 7/10/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned Gy: <br /> Office of the County Attorney �66A, K6kkY S _ Date: 7/10/2019 <br /> EAA3D33ED8AW5.. <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 />