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DocuSign Envelope ID:Al 02013E-8A93-4147-8909-71F057AA3A2A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Miracle Recreation Equipment Company Party/Vendor Contact Person: Kevin Walker Contact <br /> Phone: 888-458-2725 Party/Vendor Address: 878 E Highway 60 City Monett State: MO Zip: 65708 Department: <br /> DEAPR Amount: 1,761.60 Purpose: Playground Repair Budget Code(s): 61370035 800000 20039 Vendor# 53998 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date August 1,2019 Approved by Board Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technica Docusigned by: <br /> Pawl. �f�[ 8/7/2019 <br /> Department Director's Signature Date: <br /> 811CFA1D507A495.. <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 Docusigned by: specifications,and requirements: <br /> 1 <br /> U56 (,4�6 8/7/2019 <br /> Office of the Risk Management Officer_ 7FOCF917E900498. Date: <br /> Financial Services <br /> This instrument has been pre-audited in trI <br /> Docusigned by: ;Local Government Budget and Fiscal Control Act: <br /> '�' � 8/7/2019 <br /> s1ACC1409Office of the Chief Financial Officer_ 7o4 Date: <br /> Legal Services <br /> This agreement is approved as to Docusigned by: ieney: <br /> ,�w,s i7 u 8/7/2019 <br /> Office of the County Attorney Date: <br /> 3286C480549A4F5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll(a)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 10/17(Mgr appry 5k 6/18) 4 <br />