Orange County NC Website
DocuSign Envelope ID: 3D33619A-OD44-4FDD-8749-BC3C4975OD59 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY ag <br /> Department <br /> Party/Vendor Name: Swanson and Associates, P.A. Party/Vendor Contact Person: David Swanson Contact Phone: <br /> 919-929-9000 Party/Vendor Address: 100 East Carr Street City Cairboro State: NC Zip: 27510 Department: AMS <br /> Amount: $3,500 Purpose: Veterans Memorial Design Budget Code(s): tbd Vendor # 57954 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 4/11/16 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> U Sg y <br /> Department Director's Signature b' w Date: 4/5/2016 <br /> C o< <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related set-vices)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 /> Office of the Risk Management Officer lusas(odw 6 Date: 4/6/2016 <br /> o <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Uocu59 dby <br /> Office of the Chief Financial Officer <br /> 4/8/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> U Sg dby 4/11/2016 <br /> Office of the County Attorney�6 s oywts Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oranizecountync.gov <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 Date: <br /> Revised 1/16 4 <br />