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DocuSign Envelope ID:67C09E91-68ED-441D-8F8B-091C77422DBD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Royalwood Associates, Inc. Party/Vendor Contact Person: Jeff Evans Contact Phone: 919-957- <br /> 3006 Party/Vendor Address: PO Box 91145 City Raleieh State: NC Zip: 27675 Department: DEAPR Amount: <br /> 1 872.65 Purpose: Gymnasium Resurfacing Budget Code(s): 61370035 880000 20039 Vendor#62025 (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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> Ep <br /> �� �f��DocuSigned by: <br /> Department Director's Signature Date: 8/12/2019 <br /> 811CFAM507A405.. <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 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 sufficienc -Diocusigned by: 'ds, specifications,and requirements: <br /> aUsa ( Q� 6 8/12/2019 <br /> Office of the Risk Management Officer 7FDCF9176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i1 ' Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Ir <br /> 411.w4/� Date:8/12/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as tcDEAA,D,,ED.A.,- <br /> DocuSigned br iciency: <br /> 66A, K6kk�S 8/13/2019 <br /> Office of the County Attorney Date: <br /> . <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 /> P Ds <br /> CS <br />