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DocuSign Envelope ID:9CF98C50-560B-4CBA-B5DB-DA941575C615 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Bartlett Tree Experts Party/Vendor Contact Person: Kevin Riegner Contact Phone: 919-687- <br /> 0776 Party/Vendor Address: 5809 Triangle Dr. City Raleigh State: NC Zip: 27617 Department: DEAPR Amount: <br /> 2502.00 Purpose: Tree Prunning and Root Invigoration Budget Code(s): 61370035 980000 20039 Vendor#63999 <br /> (N/A if now vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date 9-23_19 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 /> DocuSigned by: r <br /> Department Director's Signature a\Mj SfAG�. Date: 9/24/2019 <br /> Agreements for emergency services or _ 611CFA1D507A405.._ 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 hardwarelso7ware 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 /> DocuSigned by: <br /> Office of the Risk Management Officer C <br /> USA (,4Wt.t,{f6 Date: 9/25/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> OacuSigned by: <br /> Office of the Chief Financial Officer 6ym�, �o�wldye.. Date: 9/25/2019 <br /> 7NE5181ACC1400 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney , 6Lo, K6�t, fs _ Date: 9/25/2019 <br /> El+A3DnED8A8405.. <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 Cleric to the Board Date: <br /> Revised 12/18 4 <br />