Orange County NC Website
Browse       Search
DocuSign Envelope ID: E332C792-DA82-4863-845F-68COAEOE8E13 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> ..............­.......... ....... <br /> Department <br /> PartylVendor Name: Statler Gilfillen Party/Vendor Contact Person: Statler Gilfillen Contact Phone: 9,19-732-6123 <br /> Party/Vendor Address: 3302 <br /> t)2 Mary s Road City Ltillsbo State: NQ Zip: 27278 Department: AMS Amount: <br /> ..4 Purpose: Arts 1 1 ic <br /> —.-. sjL-y &� eLarch Budget Codc(s): 10240320-630000 Vendor 4 New (N/A if new vendor) <br /> Vendor is a BOCC, consultant? Yes F-1 No[:] Contract Type (Check one) New Z Renewa[ El Amendment <br /> Effective Date-.— Approved by Board YesE]No[:] Agenda Date�: ................. <br /> This agreement is approved as to technical Mcrd9,jn9d-A-0Cot: <br /> Department Director's Signature h# 77110..rjoll. Date: 8/23/2015 <br /> ...r!9E 80A-467-6-4498­ <br /> Information Technologies <br /> (111.)pflcable only Io harcAvarelsQftware purchases or related services)This agreement has been reviewed and is <br /> approved as to inforrnation technology content and specifications; <br /> Office of the Chief Information Officer <br /> Risk Management <br /> This agreement is approved for sulliciency of insubam �,stgpdards specifications,and requirements: <br /> . g,gne y: I <br /> Office of the Risk Management Officer_ 8/25/2015 <br /> �-O—cu ............................... .. ...........— <br /> 7MCF917680049K. <br /> Financial Services <br /> This instrument has been pre-audited in the d by the Local Government Budget and Fiscal Control Am <br /> Office of the Chief Financial Officer Date: 8/25/2015 <br /> ............. <br /> Legal Services <br /> This agreement is approved as to legal form <br /> Office of the County Attorney Date: 8/25/2015 <br /> EAA3D33ED8A8465 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion I)ollovd(iir orariaecotitityiic..L!ov <br /> The hollowing signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board <br /> Revised 10/14 <br />