Orange County NC Website
DocuSign Envelope ID: F2DC536B-9A37-41 CF-8A34-E60971 FF929E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Moseley Architects Party/Vendor Contact Person: Dan Mace Contact Phone: 704-540-3755 <br /> Party/Vendor Address: 11430 N. Community House Road City Charlotte State: NC Zip: 27278 Department: <br /> AMS Amount: $32,750 Purpose: Feasibility Analysis Budget Code(s): 61370035-870000-10051 Vendor#55186 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 6/20/17 Approved by Board Yes❑ No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �—oo<s�gea ey: <br /> 7z4 yaw 7/11/2017 <br /> Department Director's Signature. Be Date: <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 /> o sg aey <br /> �Q(asa(01W-to 7/12/2017 <br /> Office of the Risk Management Officer „,c„, 80B Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> �—oo<s�gea ey: <br /> 7/17/2017 <br /> Office of the Chief Financial Officera:s,a,ACC,Ao9_ Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> o sg aey: <br /> �o(un �ol�wfs 7/17/2017 <br /> Office of the County Attorney Date: <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 <br /> 9 <br />