Orange County NC Website
Browse       Search
DocuSign Envelope ID:064412EF-AC39-4D55-8ED9-645867665600 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Stephen J. H. Rankin Party/Vendor Contact Person: Stephen J. H.Rankin Contact Phone: (919) <br /> 308-6057 Party/Vendor Address: 136 Nat Villines Road City Hurdle Mills State: NC Zip: 27541 Department: <br /> DEAPR Amount: $800.00 Purpose: Provide historical research services for the History Wall exhibit at the Cedar <br /> Grove Community Center Budget Code(s): 10610020 630000 Vendor#63808 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> March 28,2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical faun and content: <br /> DocuSigned by: <br /> Department Director's Signature GW-t, SfetlAtit._._ Date: 3/29/2017 <br /> 611CFA1D507A495... <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 /> q DocuSigned"vtLby: <br /> Office of the Risk Management Officer <br /> uUSX C,bv116 Date: 3/29/2017 <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 e4tAA Lec.tZIsees. Date: 3/29/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r DocuSigned by:' <br /> Office of the County Attorney joloA �b1 L- S Date: 4/3/2017 <br /> �—EAA3D33ED8A8465... <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 2/17 5 <br />