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DocuSign Envelope ID:8C9741 F7-7393-4B78-9DF3-BFBF6EBAAB53 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Boomerang Design, P.A. Party/Vendor Contact Person: Angie Crawford Easterday <br /> (acrawford(a)thinkboomerang com) Contact Phone: 919.573.6403 Party/Vendor Address: 6131 Falls of the Neuse <br /> Road, Ste 204 City Raleigh State: NC Zip: 27609 Department: AMS Amount: $15,250.00 Purpose: CGCC <br /> Septic Line Repair Budget Code(s): 61370035-880000-10075 Vendor#61974 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 4/5/2020 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature Date:4/2/2020 <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 /> 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 /> Office of the Risk Management Office QGs�,bn1t f° Date:4/3/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P� Act: oIXu <br /> Office of the Chief Financial Officer[ Date: 4/9/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney � +++u Date:4/9/2020 <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 />