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DocuSign Envelope ID:C2B17AC8-D3E4-4E63-A9B3-836545FA2BED <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Smith Sinnett Architecture, P.A. Party/Vendor Contact Person: Rhonda An eg rio (ran ec rio(absmithsinnett.com) Contact Phone: <br /> 919.781.8582 Party/Vendor Address: 4600 Lake Boone Trail Suite 205 City Raleigh State:NC Zip: 27607 Department: AMS Amount: $50,310 + <br /> $1200 Reim= $51,510. Purpose: Southern Human Services -Roof Design Budget Code(s): 61370035-870000-30018 Vendor# 64733 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 10/12/2020 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 on this project has not been initiated <br /> prior to execution of the agreement: <br /> D 5 tlb <br /> Department Director's Signature S Quad# Date: 101712020 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been <br /> completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> D ss aby: <br /> Office of the Risk Management Office Z'" , ': a Date:10/7/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 0 Sig—by: <br /> P[ Office of the Chief Financial Officer2 ' —&— Date: <br /> 11/10/2020 <br /> �e�ee iebeeeiaae_. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D 5' tlbY: 11/11/2020 <br /> Office of the County Attorney Nwviw Date: <br /> F3CDDF0896F8.. <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 /> 17 <br /> Revised 07/20 <br />