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DocuSign Envelope ID: B59D5822-336E-40C5-911A-8FC53B025BA8 <br /> DS <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Moseley Architects,P.C. Party/Vendor Contact Person: Dan Mace Contact Phone: 704-540-3755 <br /> Party/Vendor Address: 11430 North Community House Road, Suite 225 City Charlotte State:NC Zip:28277 Department:AMS <br /> Amount: $61,643.00. Purpose:North Campus Amendment 5 $61,643 Budget Code(s): 61370035-870000-10051 Vendor#55186 <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal❑ Amendment ® Effective Date <br /> 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 this project has <br /> not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> L <br /> Department Director's Signature Si ����• 9 M A Date: 8/8/2019 <br /> Agreements for emergency services or rLr__-2DD9CD6681844 C5_ _to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Continuation of <br /> contracted services <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 /> pp�� <br /> Office of the Risk Management Officer aUsa LQ d Date:8/8/2019 <br /> 7FDCF9176900498. Lp <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 Officer (' 4 Date:8/12/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �b� K6 tY6 Date:8/13/2019 <br /> El+A3DnED8AS435.. <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 />