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DocuSign Envelope ID:5D04E744-49DD-4FEE-ACA8-703D1BBDA528 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Houck Transit Advertising Party/Vendor Contact Person: Dave Engstrom Contact Phone: 503- <br /> 484-7408 Party/Vendor Address: 1025 Tomlyn Ave., Suite 100 City St. Paul State: MN Zip: 55126 Department: <br /> Human Rights &Relations Amount: $5,250.00 Purpose: Fair Housing Queen Bus ads to be placed on the exterior(2) <br /> of Chapel Hill Transit buses that travel major routes throughout Orange County Budget Code(s): 30460020-790003- <br /> 71300 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check <br /> one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda <br /> Date:April 21,2021 -April 16,2022 <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 /> cuSigned by: <br /> F�!,­­7­477M VuLAA, R MMbI 4/19/2021 <br /> Department Director's SignatureDate: <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 insuran dg"Mecifications,and requirements: <br /> Office of the Risk Management Officer &A. rbrvu,TTb Date: 4/19/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner r ""t4?d Local Government Budget and Fiscal Control Act: <br /> s�oscR.�se.L 4/20/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suffi 4acusigned by: <br /> Qblwb L 1-6S(h 4/20/2021 <br /> Office of the County Attorney Date: <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 11/19 4 <br />