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DocuSign Envelope ID:78148866-7ACF-44FB-A8D4-617C77DAF23F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Smith Sinnett Architecture, P.A. Party/Vendor Contact Person: Rhonda Angerio Contact <br /> Phone: 919.781.8582 Party/Vendor Address: 4600 Lake Boone Trail, Suite 205 City Raleigh State: NC Zip: <br /> 27607 Department: AMS Amount: $6,820 Purpose: To provide engineering and architectural services for the <br /> improvement of the Whitted Medical Clinic Waiting Room Budget Code(s): 61370035-892000-10072 Vendor# <br /> 64733 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date 02/27/2020 Approved by Board Yes❑ No® Agenda Date: <br /> N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signatur L2DD9CD6B81844C5 <br /> r�- 9MA Date: 2/28/2020 <br /> ... <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 <br /> was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficienc- oocusgnea by:`�`ds, specifications,and requirements: <br /> Office of the Risk Management Officer LQVIn 6 Date: 3 1 2020 <br /> 7FDCF0176800408... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> DocuSigned by: <br /> Docusigned by: <br /> � ,,� �, 3/3/2020 <br /> 232DFFC2cFA847B... the Chief Financial Office Date: <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to' Gacusigned by: iency: <br /> 13DStf�, �l.Nl v, 3/3/2020 <br /> Office of the County Attorney Date: <br /> 4C5F3CDDF0894F8... <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 11/19 <br /> 9 <br />