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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: MdM Historical Consultants Party/Vendor Contact Person: Jennifer Martin Contact Phone: 919- <br /> 368-1602 Party/Ve dor Address: 808 Parker Street City Durham State: NC Zip: 27701 Department: DEAPR <br /> Amount: $20,000 urpose: Complete final Dhase of coon -wide historic resources inventory update and prepare text <br /> for publication in book form Budget Code(s): 0610020 630000 71065 Vendor # 62927 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date Feb. 15,2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and conte <br /> Department Director's Signature Date: 2 � <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 NA Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> r <br /> Office of the Risk Management Officer _ Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma r r ire e Local Government Budget d F'scal Control Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal fo <br /> Office of the County Attorney `/ r Dater <br /> h' Y <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran eg coon• c._ov <br /> The following signature block is for hard copies o is not required for Docusign contracts_: <br /> Office of the Clerk to the Board Date:__ <br />