Orange County NC Website
Revised 10/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Kennon Craver Party/Vendor Contact Person: Brian Ferrell Contact Phone: 919-490-0500 <br />Party/Vendor Address: 4011 University Dr. Suite 300 City Durham State: NC Zip: 27707 Department: County <br />Attorney Amount: 6,500.00 Purpose: Survey Budget Code(s): 2050-630000 Vendor # 62291 (N/A if new vendor) <br />Vendor is a BOCC consultant? Yes No x Contract Type: (Check one) New x Renewal Amendment <br />Effective Date 2-27-18 Approved by Board Yes No Agenda Date: <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of Risk Management_____________________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br />DocuSign Envelope ID: CB53B3F9-97AB-472A-A85A-50053B9BEAB7 <br /> <br /> <br />