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DocuSign Envelope ID: B7E9F906-209C-406E-AB 1A-A2D1A88E7824 <br /> 0 GE CO Y—DEPART I NT USE ONLY <br /> ilomIrtument <br /> PartyNendor Name: Picket Sprouse PartyNendor Contact Person: Mark O'Neal (marko@pickett-sprouse.com) <br /> Contact Phone: 919-287-3051 PartyNendor Address: 3805-A University Drive City Durham State:NC Zip: 27707 <br /> Department: AMS Amount: NTE$1000.00 Purpose: Consulting Services for potential land purchase along the Hwy <br /> 70 corridor Budget Code(s): 1024320-630000 Vendor#59177 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes 0 No Contract Type: (Check one) New Renewal 0 Amendment 0 Effective Date 4-24-2017 <br /> Approved by Board Yes0 Nor Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signaturef Date: 5/9/2017 <br /> Information Technoloeies <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 /> Office of the Risk Management OfficeEllc Date: 5/9/2017 <br /> Financial Services <br /> r This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> v <br /> Office of the Chief Financial Officer Cel' a Date: 5/17/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney 5/17/2017 <br /> r°1"'s Dat <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion(a)DolloydAorangecountync.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 Dec <br /> Revised 2/17 5 <br />