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DocuSign Envelope ID:6524A599-FE9C-462D-9194-38DF67BFAF4D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Miracle Recreation Equipment Co. Party/Vendor Contact Person: Kevin Walker Contact <br /> Phone: 888-458-2752 Party/Vendor Address: 878 East Hyw 60 City Monet State: MO Zip: 65708 Department: <br /> DEAPR Amount: $8,537.47 Purpose: Playground Equipment Replacement Budget Code(s): 61370035 880000 <br /> 20039 Vendor# 53998 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ❑ Effective Date N/A Approved by Board Yes❑No® Agenda <br /> Date:n/A---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 <br /> on this project has not been initiated Nojvwov ion of the agreement: <br /> vm� �}a"� 1/26/2022 <br /> Department Director's Signature Date: <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[Atsx <br /> bK�dNVVA�tb <br /> 9 raj}l rds,specifications,and requirements: <br /> 1/27/2022 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <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 /> 0./21. 1/31/2022 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to 1 ga ?8 Tfidfufficiency: <br /> am's brIlAla, 1/31/2022 <br /> Office of the County Attorney U328DC480549A4F5... 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 /> 9 <br />