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DocuSign Envelope ID:AD41 E8C7-FC41-4249-A9C6-849589FOC1 56 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: UMA Geotechnical Construction, Inc. Party/Vendor Contact Person: Luke McFetters Contact Phone: 336-339-1198 <br /> Party/Vendor Address: 8815 Neville Road City Colfax State: NC Zip: 27235 Department: Solid Waste Amount: $12,181 Purpose: Change Order <br /> Retaining Wall Repair Budget Code(s): 50351020-630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 10-22-21 Approved by Board Yes❑No® Agenda Date: -- <br /> -For Section XIV.c.contracts only,Approved by Board in Current FY Budget Yes No❑ <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: FrZ �lw . s�ed by: <br /> Department Director's Signature Date:10/26/2021 <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: <br /> Risk Management <br /> This agreement is approved for sufficiency of dpmgpggystandards, specifications,and requirements: <br /> Office of the Risk Management Officer &A, Ch u.�lb Date:10/27/2021 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in ?iar9"uired by the Local Government Budget and Fiscal Control Act: <br /> 10/27/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to lea 8Pftftl 0ifficiency: <br /> , 6st fL at,lyiVu 10/27/2021 <br /> Office of the County Attorney gCSFsn MPOR9AP6 Date: <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 06/21 <br />