2021-205-E-Solid Waste-Full Circle Environmental-Walnut Grove Wastewater Disposal System

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DocuSign Envelope ID:81E05E8E-EED7-43D3-8B8A-08110E72140A ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Full Circle Environmental, LLC Party/Vendor Contact Person: Zachary Woody Contact Phone: 919- 359-9984 Party/Vendor Address: 107 Lee Court City Cla3jon State: NC Zip: 27520 Department: Solid Waste Amount: $29,130 Purpose: Walnut Grove Wastewater Disposal System Budget Code(s): 50351020-630000 Vendor#NA (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 4-21-21 Approved by Board Yes❑No® Agenda Date: 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 prior to execution of the agreement: DocuSignetd11by: Eg 6�u WI ARMS 4/26/2021 Department Director's Signature RRFRRFRdifO dQR Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Risk Management This agreement is approved for sufficiency U1114@qQ "b�a''��ndards, specifications,and requirements: &A, rbvvulTb 4/26/2021 Office of the Risk Management Officer r Date: Financial Services This instrument has been pre-audited in t TU7tVff1ffWTftired by the Local Government Budget and Fiscal Control Act: �� +� � 4/26/2021 Office of the Chief Financial Officer (' �F ,o,,,,,4 o Date: Legal Services This agreement is approved as to €aameanal sufficiency: Office of the County Attorney p� Date:4/26/2021 6 .. Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 07/20 10