Orange County NC Website
DocuSign Envelope ID:4F5211 C6-3273-4A89-BE2B-D8703BD81524 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: John Loftin, Attorney Party/Vendor Contact Person: John Loftin Contact Phone: 919 732 <br /> 9748 Party/Vendor Address: 117 North Churton St, City Hillsborough State: NC Zip: 27278 Department: CSS <br /> Amount: <5K/$100hr Purpose: representation when primary & secondary attorneys are conflicted Budget <br /> Code(s): 10 44002063400 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ Noxx <br /> ❑ Contract Type: (Check one)New xx❑ Renewal ❑ Amendment ❑ Effective Date 09/01/2017 Approved by <br /> Board Yes❑Noxx❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature iGLIAV SPAS Date:8/23/2017 <br /> 4E09C676AAC2406... <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 /> DocuSigned_by: <br /> 'll <br /> Office of Risk Managemen USa rbVVUflb Date:8/23/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: j <br /> ■ <br /> Office of the Chief Financial Officer el,i,t Ar. a Date:8/28/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> c--DocuSigned by: <br /> i <br /> Office of the County Attorney tILIA. roes Date: 8/29/2017 <br /> "—EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: Et <br /> Revised 2/17 <br />