Orange County NC Website
DocuSign Envelope ID:OB0004FA-A182-4D23-AAC9-C4A5A4ED4213 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> .......... ..... .................. <br /> Departmen <br /> Party/Vendor Name: Statler Gilfillen Party/Vendor Contact Person: Statler Gilfiflen Contact Phone: 919-732-6123 <br /> Party/Vendor Address: 3302 St Mary's Road City Wtj�sbor(j State: NC Zip: 27278 Department: AMS Aniount: <br /> VIII — p <br /> $498 Purpose: Tenancy Policy Research Budget Code(s): 10240320-630000 Vendor 4 New (N/A if new vendor) <br /> Vendor is a BOCC consultant"? Yes El NoD Contract Type: (Check one) New E Renewal F-1 Amendiment EJ <br /> Effective Date Approved by Board YesEl Non Agenda Date: <br /> This agreement is approved as to techn" &mamgAvApontent: <br /> tn <br /> Department Director's Signature Date: 8/23/2015 <br /> _,A4-6-CF-p4g6­nn-111-­­­­­­--­,,"........ <br /> Information Technologies <br /> (AI)lVicabli.,on1j,to hay r(lwarelsoffware purchases or related der vices)'Th is 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 s t"indards, specifications, and requirements: <br /> DocuSigned y: <br /> Office of the Risk Management Officer ausel, (muftb Date- 8/25/2015 <br /> 1�7FD C,F9176800498 .................. <br /> Financial Services <br /> This instrument has been pre-audited in the I EuwjA6mwyd by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer PWAL Date: 8/25/2015 <br /> 7L,,2,DFFC2CFA8473 <br /> Lep-all Services <br /> This agreement is approved as to legal form DqoffiLh ikvy: <br /> 8/25/2015 <br /> Office of the County Attorney <br /> Clerk to the Board <br /> Received for record retention: <br /> All Doc:usign contracts must be copied to Donna Lloyd upon completion Ve4 1MLU) d_(jeor4n <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 <br /> Revised 10114 4 <br />