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DocuSign Envelope ID: F8416631-822D-444C-8COE-F530EA41841C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Betty Compton Party/Vendor Contact Person: Betty Compton Contact Phone: 919-732-8487 <br /> Party/Vendor Address: 5900 Compton Road City Cedar Grove State:NC Zip: 27231 Department: Planning Amount: <br /> $1,075.00 Purpose: Maintenance of Grass/Brush at Sediment Control Structure No. 1 and Sediment Control Structure <br /> No. 2 Budget Code(s): 10695020-720013 Vendor # 65766 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 09/05/2019 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> ��a 2 <br /> °°`"$'�k�by: <br /> 9/3/2019 <br /> Department Director's Signature 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 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 sufficiency of insurance standards,specifications,and requirements: <br /> Usa cevti 6 9/4/2019 <br /> Q <br /> Office of the Risk Management Officer <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> "'" 9/5/2019 <br /> Office of the Chief Financial Officer[ Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> "'" 9/5/2019 <br /> Office of the County Attorney C s ! Date: <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 />