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DocuSign Envelope ID: F630E90C -F2C1- 4392 -Al DD- 04B9E5ODlAD4 <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: N/A Purpose: To amend existing contract for Historic Resources Book: Phase 1 Review and <br />Assessment to extend end date from Dec. 31, 2017 to April 30, 2018; original contract amount remains unchanged <br />Budget Code(s): 30610020 630000 71065 Vendor # N/A (N /A if new vendor) Vendor is a BOCC consultant? Yes <br />❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date January 2, 2018 <br />Approved by Board Yes❑ No® Agenda Date: <br />This agreement is approved as to technical form and content: <br />DocuSigned by: <br />Department Director's Signature Date:1 /2/2018 <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigned� by: <br />" <br />Office of the Risk Management Officer FaUS& V17t,r.,{fb Date: 1/3/2018 <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: Office of the Chief Financial Officer a — 0.&. Date: 1/3/2018 <br />7NE5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />DocuSigned by:,�, <br />Office of the County Attorney F)6LL r6bul � Date: 1/3/2018 <br />EAA3D33ED8A8465... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran-ecountync.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 <br />Revised 2/17 5 <br />Date: <br />