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DocuSign Envelope ID:84061484-66C3-4BCA-9FFF-FO9ACOA0012D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Pine shore Energy LLC Party/Vendor Contact Person: David Thompson Contact Phone: 1-828-553-6257 Party/Vendor Address: <br /> PO Box 443 City Brevard State:NC Zip: 28712 Department: AMS Amount: $22150.10 Purpose: Additional Work Required for the Parking Deck <br /> Budget Code(s):61370035-803050-30051 Vendor#65135 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: --- For Section XIV. c. <br /> contracts only,Approved by Board in Current FY Budget Yes El Nor-1 <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: 1Do¢usigned by: <br /> Department Director's Signature S "" AMA Date: 2/2/2022 <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 iulaig ,ftandards, specifications,and requirements: <br /> Office of the Risk Management Officer QuSa V1nt,{fb 2 3 Date: / /2022 <br /> DS <br /> U Financial Services <br /> This instrument has been pre-audited by the Local Government Budget and Fiscal Control Act: <br /> 2/3/2022 <br /> Office of the Chief Financial Office � O Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as t gaduf �a Dyad sufficiency: <br /> 2/8/2022 <br /> Office of the County Attorne � � Date: <br /> 4C5F3CDDF0B94F8... <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 />