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DocuSign Envelope ID: D7B85F8F-DAC8-4ACB-BF06-EB272D57175A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: J.B. Tree Service Party/Vendor Contact Person: Jeff Braken Contact Phone: 919-644-2454 <br /> Party/Vendor Address: 7410 Hwy 84 North City Hillsborough State:NC Zip: 27278 Department: DEAPR Amount: <br /> 750.00 Purpose: Dead tree removal Budget Code(s): 10515020 630000 20005 Vendor#52882 (NIA if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date September 3 2019 to October 31,2019 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature vakk f alna Bate: 9j7/2019 <br /> 611 CFA1 D507A495... <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware purchases or related sern4ces)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 Officer aUsa, br&d6 Date:9/8/2019 <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 Officer „Q/,/,„ Date: 9/9/2019 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorne 6 �b�t Date: <br /> 9/9/2019 <br /> EAA3D33FD8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecoungync.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 10117(ivigr appry 5k 6/18) 4 <br /> f <br />