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DocuSign Envelope ID:7186CDD6-0092-419B-9B63-99A79E1E4846 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Alpha and Omega Group, PC Party/Vendor Contact Person: Ted L. Bartelt, P.E. (President) Contact Phone: <br /> 919-981-0310 Party/Vendor Address: 4601 Lake Boone Trail, Suite 3C City Raleieh State: NC Zip: 27607 Department: Planning <br /> Amount: $2,600.00 Purpose: Contract Amendment#1 —Lake Orange Dam—Erosion Control (EC)Barrier Design Budget Code(s): <br /> 61370035-870000-10074 (Lake Orange Dam Rehabilitation CIP — Professional Services) Vendor # 61518 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date <br /> January 19,2021 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 this project has <br /> not been initiated prior to execution of the agreement: <br /> Department Director's Signature C E4 9�by: 1/15/2021 <br /> broad Date: <br /> 3C5D,oDH3GFpOc2 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 /> 1/15/2021 <br /> Office of the Risk Management Officer�Us�51(Afo Date: <br /> ]FDDF81]85880.98... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer I-SA Date: 1/19/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> by: 1/19/2021 <br /> Office of the County Attorney[T.Z 6,9. Date: <br /> 328DU885C8MF5... <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 /> v 0.1 <br />