Orange County NC Website
DocuSign Envelope ID: B2795506-A9C4-4F3C-BA37-9A4696263D77 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pickett-Sprouse 3805-AReal Estate PartyNendor Contact Person: Robert Sprouse Contact <br /> Phone: 919-493-0395; robert@pickett-sprouse.com Party/Vendor Address: 3805-A University Drive; PO Box 52118 <br /> City Durham State: NC Zip: 27717 Department: AMS Amount: NTE $8,500 Purpose: 501/503 Franklin Appraisal <br /> Budget Code(s): 10240320-630000 Vendor# 59177 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 1/5/17 Approved by Board <br /> Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> r—DOCUSignetl by. <br /> Department Director's Signature Hi 71"-"P"— Date: 1/6/2017 <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 /> r—DOCUSignetl by: <br /> Office of the Risk Management Officer Q(sa CowuNo Date: 1/8/2017 <br /> �— L7,91/68UU4N8_. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> r—DOCUSignetl by. <br /> Office of the Chief Financial Officer (1'N °" °" Date: 1/11/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney 96±9�hws Date:1/11/2017 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 5 <br />