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DocuSign Envelope ID:69BB1BBE-A575-4059-A622-7A4649895524 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: The EI Group, Inc. Party/Vendor Contact Person: Lee B. Clark Contact Phone: 919-459- <br /> 5234 Party/Vendor Address: 2101 Gateway Centre Boulevard Suite 200 City Morrisville State: NC Zip: 27560 <br /> Department: Housing and Community Development Amount: $2,500.00 Purpose: Asbestos Operations and <br /> Maintenance Refresher Class Budget Code(s): 32470320-530100 Vendor# 51954 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 12/14/2020 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 /> ifIffIffe2fffsubject <br /> uSigned by: <br /> Department Director's Signature ` A S<!41byl Date: 1/20/2021 <br /> Agreements for emergency services 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 /> DocuSigned""by: <br /> ''ll� <br /> Office of the Risk Management Office auSa rbvvu 6 Date:112112021 <br /> 7FDCF9176800498... <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 /> FDocuSigned by: <br /> Office of the Chief Financial Officer 1/21/2021 <br /> '� Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to ,f Qggd sufficiency: <br /> abi AJ, k4k, �S(h 1/22/2021 <br /> Office of the County Attorney Date: <br /> 079MD525COWB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br /> 9 <br />