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DocuSign Envelope ID:573B6D9F-CFFA-4EE0-B636-B96CA48F61EE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Americourt Sport Surfaces, LLC Party/Vendor Contact Person: Ron Reif Contact Phone: <br /> 984-254-3541 Party/Vendor Address: 6221 Mount Herman Road City Raleigh State:NC Zip:27617 Department: <br /> DEAPR Amount: $23,200 Purpose: Court Renovation Budget Code(s): 61370035 880000 20039 Vendor#67434 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 4/13/2022 Approved by Board Yes❑No® Agenda Date:n/a---For <br /> Section XIV. c. contracts only,Approved by Board in Current FY Budget Yes No El <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 pr ocammdm of the agreement: <br /> Department Director's Signature vAw, Sfa"(, Date:4/20/2022 <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 sufficiencyy tftrwU)standards,specifications,and requirements: <br /> &A, (hnAATTb 4/21/2022 <br /> Office of the Risk Management Officer ,,,7RAnn4QA 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 /> +� . 4/22/2022 <br /> Office of the Chief Financial Office Date: <br /> Legal Services <br /> This agreement is approved as to V araflk:sufficiency: <br /> ,am S brrA& 412212022 <br /> Office of the County Attorney L 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 />