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DocuSign Envelope ID:440B99OA-4490-4F53-ACCC-3254D5399C9C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: J Kester&Rose LLC General Contractors Party/Vendor Contact Person: Ken Fain Contact Phone:919-678-8868 Party/Vendor <br /> Address: 119 S. FUqUay Ave. City Fuquay-Varina State: NC Zip: 27526 Department:,DEAPR Amount: 0.00 Purpose: Change Order Budget <br /> Code(s):61370035 880000 20037 Vendor It 67171 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑X Contract Type:(Check one) <br /> New ❑ Renewal ❑ Amendment ® Effective Date February 23,2022 Approved by Board Yes® No❑ Agenda Date: 6-15-21 --- For Section <br /> XIV.c,contracts only,Approved by Board in Current FY Budget Yes❑No❑ <br /> This agreement is approved as to techni.awt SIA"'61L(jAAjyy y t content and I as Department Director affirmatively state work on this project has not been initiated <br /> prior to execution of the agreement: <br /> � <br /> Department Director's Signatm�e Da 6/9/2022 <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 sufficier y oP?R,Yr@l4WOff b,)1'andards,specifications,and requirements: <br /> &A, V1n.t,{fb 6/9/2022 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audite in R09§19rTf PYc uired by the Local Government Budget and Fiscal Control Act: <br /> 6/9/2022 <br /> Office of the Chief Financial Offic r� C-74 Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved a o P "WR 4NN:sufficiency: <br /> Office of the County Attorn L�IEAAMMEDW465 <br /> Date: 6/9/2022 <br /> ... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecoimtyne.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 />