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DocuSign Envelope ID:7BCE8ED6-7B33-485B-9DED-EFB2EC7A5394 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Simmons and Simmons Management, Inc. Party/Vendor Contact Person: David Simmons <br /> Contact Phone: 910-592-3934 Party/Vendor Address: PO Box 1460 City Clinton State: NC Zip: 28239 <br /> Department: Solid Waste Amount: $55,000 Purpose: Grinding and hauling of yard waste Budget Code(s): <br /> 50351020-630003 Vendor # 65514 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 11-30-2020 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 /> DSigned by: <br /> rrocu <br /> (�� �iWA^S 1/26/2021 <br /> Department Director's Signature IM PS Date: <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 o ""t9ndd�ards,specifications,and requirements: <br /> Office of the Risk Management Officer Q�1Sa rbvvullb Date:1/26/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer Date: 2/1/2021 <br /> Legal Services <br /> This agreement is approved as to Lstf <br /> Pf&ftn&A Y'sufficiency: <br /> Office of the County Attorney Rt*t& Date: 2/1/2021 <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 />