Orange County NC Website
DocuSign Envelope ID: D81 1321DAD-599E-4763-A300-356131341`41 E65 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Clarion Associates Party/Vendor Contact Person: Roger Waldon Contact Phone: 919-967- <br /> 9188 Party/Vendor Address: 101 Market Street, Suite D City Chapel Hill State: NC Zip: 27516 Department: <br /> AMS Amount: $79,500 Purpose: Southern Campus Master Plan (Future Planning) Budget Code(s): 61370035- <br /> 870000-10052 Vendor# 57107 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 3/1/15 Approved by Board Yes❑No <br /> ® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> uSigned by: <br /> Department Director's Signature 5Doc ° py°� Date: 3/4/2015 <br /> 9E880A46CF64498... <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 sufficiency of insurance standards, specifications,and requirements: <br /> PCs&DocuSigned""by:''�Office of the Risk Management Officer r,6vvt,e b Date: 3/5/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer �AU� �'""D"" bin, Date: 3/5/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le a^ld.( AA4pfficiency: <br /> Office of the County Attorney Jb Date: 3/5/2015 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> Revised 10/14 <br /> 8 <br />