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ORANGE COUNTY—DEPARTMENT USE ONLY <br />_____________________________________________________________________________________________________ <br />Party/Vendor Name: Racanelli Construction South, Inc Party/Vendor Contact Person: Scott Drebitko Contact Phone: 919-363-3600 Party/Vendor <br />Address: 1091 Pemberton Hill Road, Suite 102 City Apex State: NC Zip: 27502 Department: AMS Amount: $43770.00 Purpose: Various additions <br />to Visitors Bureau Budget Code(s): 37600530-803000 Vendor # 62962 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract <br />Type: (Check one) New Renewal Amendment Effective Date 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 on this project has not been initiated <br />prior to execution of the agreement: <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 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 insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________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 07/20 <br />DocuSign Envelope ID: AD739F8A-DC0E-420A-8A82-5B83E8828F75 <br />2/18/2022 <br />3/12/2022 <br />3/15/2022 <br />3/16/2022