HomeMy WebLinkAboutR 2019-360 Planning - Friends of Lake Orange waiver indemnification agreement DocuSign Envelope ID:7CF6OB58-F95B-4FFA-9EO3-OFA429EC47E7
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Friends of Lake Orange Party/Vendor Contact Person: Kenneth D. Terlep Contact Phone:
919-732-9744 Party/Vendor Address: 4601 Eno Cemetery Road City Cedar Grove State: NC Zip: 27231
Department: Planning Amount: N/A Purpose: Waiver and Indemnification Agreement for Lake Orange Treatment
of American Lotus by Friends of Lake Orange Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date June 28,2019 Approved by Board Yes❑No® Agenda Date:N/A
This agreement is approved as to technical form and content:
6/21/2019
Department Director's Signature "s t `L Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Officer[",S" Date:6/22/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
6/24/2019
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney `s Date: 6/24/2019
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg soll(&oran eg countync. oovv
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Initial Waiver 8/18 5