R 2017-289-E AMS - Picket Sprouse for consulting services for potential land purchase along the Hwy 70 corridor

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DocuSign Envelope ID:FBE5A7D4-AF46-4AE8-8A23-2D738A9E441A ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY Department Party/Vendor Name: Picket Sprouse Party/Vendor Contact Person: Mark O'Neal, (mark°aapickett-j sprouse.corn) Contact Phone: 919-287-3051 Party/Vendor Address: 3805-A University Drive City Durham State: NC Zip: 27707 Department: AMS Amount: NTE $1000.00 Purpose: Consulting Services for potential land purchase along the Hwy 70 corridor Budget Code(s): 61370035-870000-10020 Vendor # 59177 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New Renewal ❑ Amendment ❑ Effective Date 4-24-2017 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: l---DocuSigned by: Department Director's Signature 94 7°"� ° Date: 7/10/2017 9tnaA4d�ea4yd Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications, and requirements: DocuSigned by: Labso.C611AA{0 7/11/2017 Office of Risk Managemen DG 600°690 Date: Financial Services [7,2 This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: r---DOCsiged by: Office of the Chief Financial Officer ("1" "6-46" Date: 7/11/2017 —]pdCGi B1AGC1609... Legal Services This agreement is approved as to legal form and sufficiency: l---DocuSigned by: ,)alum,ret,w}s 7/11/2017 Office of the County Attorney, CAA9D9 WA9•C5 Date: Clerk to the Board Received for record retention: Office of the Clerk to the Board Date: Revised 2/17