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DocuSign Envelope ID: 331 B6A4A-46C2-4E66-A54C-56994DF17997 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Laura A. W. Phillips Party/Vendor Contact Person: Laura A. W. Phillips Contact Phone: 336- <br /> 727-1968 Party/Vendor Address: 59 Park Boulevard City Winston-Salem State: NC Zip: 27127 Department: <br /> DEAPR Amount: $6,000 Purpose: Historic Resources Book: Phase 1 Review and Assessment Budget Code(s): <br /> 30610020 630000 71065 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date September 30,2017 Approved by <br /> Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature �a chilA,GIt Date: 10/3/2017 <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 /> DocuSigned""by: <br /> ''� <br /> Office of the Risk Management Officer 1' Liso. Canal-to tt0 Date: 10/4/2017 <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 (94f.../6A +� .i Date: 10/6/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney ,)ttuA, rblityts Date: 10/9/2017 <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 />