Orange County NC Website
Browse       Search
DocuSign Envelope ID: 34D18779-D403-42E9-B265-960F4F5ED000 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Statler Gilfillen Architect MBA Party/Vendor Contact Person: Statler Gilfillen <br /> (StatlerGilfillen a,hotmail.com) Contact Phone: 919.732.6123 Party/Vendor Address: 3302 St. Mary's Road City <br /> Hillsborough State: NC Zip: 27278 Department: AMS Amount: $5,100.00 Purpose: Construction Admin Services <br /> Budget Code(s): 61370035-892000-30012 Vendor# 93294 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 25, 2019 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> 5 C <br /> Department Director's Signatur YY.# bin Date: 8/5/2016 <br /> �9F88B&A6�E <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 /> D Sy dby: <br /> lL(sa �awLCffa <br /> Office of the Risk Management Officer Date: 8/24/2016 <br /> roer�deeeoas�.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> D 5 g d by: <br /> Office of the Chief Financial Officer III" Date: 8/24/2016 <br /> �DS r_�iaiaeeirtes <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D.-5 g d by <br /> �a(un �et7�vfs <br /> Office of the County Attorne3 Date: 8/25/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran ecountync. og_v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> i <br /> Office of the Clerk to the Board Date: <br /> "s <br /> Revised 6/16 5 <br /> I <br />