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DocuSign Envelope ID: F63AEA37-1F11-46A8-8DA6-487CB70C38A9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hutchens Moore and Associates, LLC Party/Vendor Contact Person: Freddie Ann Hutchens <br /> (freddieann(&hutchensmoore.com) Contact Phone: 803-288-3320 Party/Vendor Address: 2043 Hunters Ridge <br /> Road City Lancaster State: SC Zip: 29720 Department: AMS Amount: $7,200.00 Purpose: Writing editing and <br /> preparation of a master coRy of a contractor's safety manual. Budget Code(s): 61370035-870000-30001 Vendor# <br /> 65403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date August 1,2019 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 /> QLtn �/onx 7/15/2019 <br /> Department Director's Signature IX a x - Date: <br /> Agreements for emergency services or repair are not subject 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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office Qt s� �a��#f° Date:7/16/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P[ Act: <br /> Office of the Chief Financial Officer e' -N "' Date:7/16/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �4..,==��wa3P <br /> -R-1-s Date. /16/zo19 <br /> C <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 />