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DocuSign Envelope ID: D95350Bl-D497-4ADC-AE79-464lB26D4117 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hazen&Sawyer,P.C. Party/Vendor Contact Person: Alan Stone,P.E.,Vice President Contact <br /> Phone:919-755-8569 Party/Vendor Address:4011 West Chase Blvd.,Suite 500 City Raleigh State:NC Zip:27607 <br /> Department:Planning Amount: $4,500.00 Purpose:Non-Emergency or Emergency Response-On-Call Professional <br /> En ing eerin,g Services Related to the Lake Orange Dam Emergency Action Plan(EAP) Budget Code(s): 10695020- <br /> 720013 Vendor# 59201 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New 9-Renewal ❑ Amendment ❑ Effective Date May 15,2020 Approved by Board Yes❑No <br /> ® Agenda Date: <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 /> Department Director's Signature F"­Sl9� Date: 5/14/2020 <br /> C3C5D10D 'PC <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 /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> s�by:Office of the Risk Management Office(' �00 Date: <br /> 5/14/2020 <br /> ]FDDF81]8500683.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 5/14/2020 <br /> Office of the Chief Financial Officer L5 Date: <br /> C D E5 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> by 5/14/2020 <br /> Office of the County Attorney[T4 t9- Date: <br /> 328D(' �5C8A4F5... <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 <br /> 9 <br />