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DocuSign Envelope ID:4CFA3859-4E8E-48F7-8724-A67178EF2EF0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: NC State University Party/Vendor Contact Person: _Mitch Poteat Contact Phone: 919- <br /> 607-0684 Party/Vendor Address:NC State Campus Box 7902 City Raleigh State:NC Zip:27695-7902 <br /> Department: Solid Waste Amount: $2,142.00 Purpose: Required 8 hour Hazwoper refresher training Budget <br /> Code(s): 50353020-530200 Vendor#50712 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date December 9,2020(Services <br /> begin Dec.21,2020) 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSign/ AAS e1d1b1y, <br /> 1201 Ut wiu.� <br /> Department Director's Signatur Date:12/9/2020 <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 <br /> was 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 pisigugfmWOards, specifications,and requirements: <br /> QL1SA Office of the Risk Management Officer rbvv 6 Date: 12/10/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer0 Date: 12/10/2020 <br /> ACC 1409 <br /> Legal Services <br /> This agreement is approved as to w rwftsufficiency: <br /> Office of the County Attorney A yytw Date: 12/10/2020 <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 /> Revised 07/20 <br />