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DocuSign Envelope ID: FC8EB5E0-55D9-441D-8E58-AFC583AE005C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Lamar Advertising Party/Vendor Contact Person: Tim Craven Contact Phone: 919-788-1900 <br /> Party/Vendor Address: 5200 Atlantic Ave City Raleigh State: NC Zip: 27616 Department: Human Rights & <br /> Relations Amount: $1,235.00 Purpose: Display Fair Housing billdboard ad(panel#2185)for a 28-day period. Budget <br /> Code(s): 30460020-790003-71300 Vendor#65662 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board <br /> Yes❑No❑ Agenda Date:January 4,2021 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature F hw— Date: 11/5/2020 <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 was <br /> 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 insura 6SAQAE 4:'' b specifications,and requirements: <br /> a�tSA. rbvvu..11 <br /> Office of the Risk Management Officer Date: 11/5/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner req ' °l954116etKal Government Budget and Fiscal Control Act: <br /> +� 11/5/2020 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and SIXGiQUNned by: <br /> abut, hayit, �S(b D 11/5/2020 <br /> Office of the County Attorney ate: <br /> 079MD525COWB... <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 12/18 4 <br />