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ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name : Party/Vendor Contact Person : Contact Phone : Party/Vendor Address : City State : Zip : Department: Amount : Purpose : Budget Code(s) : Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type : (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes ❑ No ❑ Agenda Date : This agreement is approved as to technical form and content : Department Director ' s Signature Date : Asset Management (Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction content and specifications : Office of the Asset Management Director Date : Risk Management This agreement is approved for sufficiency of insurance standards , specifications , and requirements : Office of the Risk Management Officer Date : Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act : Office of the Chief Financial Officer Date : Legal Services This agreement is approved as to legal form and sufficiency : Office of the County Attorney Date : Clerk to the Board Received for record retention : All Docusign contracts must be copied to Sherri Ingersoll upon completion : sinQersoll a ,oran ec�ountync . eov The following signature block is for hard copies only and is not required for Docusign contracts : Office of the Clerk to the Board Date : Page 52 of 52 Revised 12/24, 4/25