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Agreement ID # 12696 5 <br />IN WITNESS WHEREOF, this Agreement has been executed, in duplicate, the day and year <br />heretofore set out, on the part of the Department and the County by authority duly given. <br />L.S. ATTEST: ORANGE COUNTY <br />BY: __________________________________ BY: _____________________________________ <br />TITLE: ________________________________ TITLE: ___________________________________ <br />DATE: ________________________________ DATE: ___________________________________ <br />N.C.G.S. § 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State <br />Employee of any gift from anyone with a contract with the State, or from any person seeking to do <br />business with the State. By execution of any response in this procurement, you attest, for your entire <br />organization and its employees or agents, that you are not aware that any such gift has been offered, <br />accepted, or promised by any employees of your organization. <br /> <br />This Agreement has been pre-audited in the manner <br />required by the Local Government Budget and <br />Fiscal Control Act. <br /> BY: _____________________________________ <br /> (SEAL) (FINANCE OFFICER) <br /> Federal Tax Identification Number <br /> _________________________________________ <br /> Remittance Address: <br /> Orange County <br /> _________________________________________ <br /> _________________________________________ <br /> DEPARTMENT OF TRANSPORTATION <br /> BY: _____________________________________ <br /> TITLE: ___________________________________ <br /> DATE: ___________________________________ <br />APPROVED BY BOARD OF TRANSPORTATION ITEM O: ___________________________ (Date) <br />01/02/2024 <br />Orange County Manager <br />56-6000327 <br />131 West Margaret Lane, Ste 300 <br />Hillsborough, NC 27278 <br />11/15/2023 <br />01/04/2024 <br />Chief Engineer