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DocuSign Envelope ID:38BCD51C-7BFE-4270-B834-A7E30176DBE4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Douglas P. Malinowski Party/Vendor Contact Person: Douglas P. Malinowski Contact <br /> Phone: 919-810-6282 Party/Vendor Address: 1005 Dimmocks Mill Road City Hillsborough State:NC Zip: 27278 <br /> Department: Planning Amount: $00 Purpose: Extension of Current Agreement Term (Timeline) Budget Code(s): <br /> 10695020-720013 Vendor # 64686 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date March 31, 2020 Approved by <br /> 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 �'�7 "�u` Date: 3/30/2020 <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: <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 1El Date:3/30/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> �Office of the Chief Financial Officer �"" Date: 4/2/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 4/2/2020 <br /> Office <br /> of the County Attorney J°"'S bri-L1� Date: <br /> C�eae.w�� <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Allen Coleman upon completion: acoleman@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 <br />