Orange County NC Website
DocuSign Envelope ID:2D2D9F9D-7378-4BE3-8983-58886E84466D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Design Dimensions, Inc. Party/Vendor Contact Person: Betsy Peters Contact Phone: 919-828- <br /> 1485 Party/Vendor Address: 901 North West Street City Ralei h State: NC Zip: 27603 Department: DEAPR <br /> Amount: N/A Purpose: To amend existing contract to extend end date for design and graphic design for historic and <br /> cultural interpretive signs at Blackwood Farm Park,to extend end date from December 31,2015 to December 31,2016. <br /> Extension needed because Contractor had to wait until archaeological work at slave cemetery and subsequent mapping <br /> of burials was completed in 2016, in order to be able to use new graphics and map created by archaeological work. The <br /> original contract amount remains unchanged. Budget Code(s): 61370035 880000 20037 Vendor#63071 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ® Effective Date September 27th,2016 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSignedd by: <br /> Department Director's Signature FoaW, SfOUA,6� Date: 10/10/2016 <br /> 611 CFA1 D507A495... <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 /> DocuSigned""by: <br /> ''111i <br /> Office of the Risk Management Officer <br /> Fausa, r,Orv�c,�16 Date: 10/10/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer A—G&o—, Date: 10/10/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> uSigne¢d.,by: <br /> Office of the County Attorney 5;t's f y avn Date: 10/12/2016 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran ecount ny_c.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-6/16 4 <br />