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DocuSign Envelope ID:4FFF7FED-E7E2-40F9-88EC-573291651 E41D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> i <br /> Party/Vendor Name: J.B. Tree Service Pasty/Vendor Contact Person: Jeff Braken Contact Phone: 919-644-2454 <br /> Party/Vendor Address: 7410 Hwy 86 North City Hillsboroup, State:NC Zip: 27278 Department: DEAPR Amount: <br /> 600,00 Purpose: Cut down tree Budget Code(s): 10515020 630000 20002 Vendor # 52882 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ ' <br /> Effective Date October 1,2019 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: <br /> Department Director's Signature Mkt f AVLU1L Date: 10/1/2019 <br /> Agreements for emergency services • im 1K1awnat 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 hardwarelsofhuare 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 Q�ISa n'utftb Date: 10/1/2019 <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 /> cuSigned by: <br /> Office of the Chief Financial OfficerC� .,Joa/do., Date: 10/2/2019 <br /> 4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DoocuSigned by: <br /> Office of the County Attorney 'Z , I°b�t,v¢s Date: 10/2/2019 <br /> EWD33EDW465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.gov <br /> orangecountyne.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 I2/18 4 <br /> 1 <br />