Orange County NC Website
DocuSign Envelope ID:98B5B763-686F-456E-B7B9-7AB597653B0C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: R.S. Jones&Associates,Inc. Party/Vendor Contact Person: J.D. Cecil Contact Phone: 919-563- <br /> 3623 Party/Vendor Address: 201 W. Clay Street City Mebane State: NC Zip: 27302 Department: DEAPR Amount: <br /> $2,500 Purpose: To provide land survey services necessary to produce a recordable plat for the Fickle Creek farmland <br /> conservation easeament Budget Code(s): 61370035 850000 20006 Vendor#44120 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective <br /> Date October 9,2017 Approved by Board YesZ No Agenda Date: October 3,2017 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signat r/O t Stutct� <br /> MA Date: 10/9/2017 <br /> 611 CFA1 D507A495... <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 Offi eraUSA. C,bvvt,c 116 Date:10/12/2017 <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 Offi erl 4o�. a Date:10/12/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docu igned by: <br /> Office of the County Attor 46LtA, let IAA Date:10/13/2017 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgorangecountync.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 />