Orange County NC Website
DocuSign Envelope ID: 1474E9E4- 0955- 4E7F- A390- F90661857795 <br />GRANGE COUNTY- DEPARTNMNT USE ONLY <br />Department <br />Party/Vendor Name: Stephen J. H. Rankin PartyNendor Contact Person: same Contact Phone: [919- 308 -6057 <br />Party/Vendor Address: 136 Nat Villines Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR <br />Amount: $900 Purpose: Historic Resources Publication Research Phase 2 Budget Code(s): 10610020 630000 Vendor <br /># 63808 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ Noz Contract 'Type: (Check one) New ❑ <br />Renewal ❑ Amendment ❑ Effective Date May 14, 2018 Approved by Board Yes❑ NoM Agenda Date: <br />This agreement is approved as to technical form and content: <br />DocuSigned by: <br />Department Director's Signature lam, Sfoaiu 111tc: 5/14/2018 <br />611.CFA1D507A495... <br />Information Technologies <br />(Applicable only to hardwarelsoftware 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 />Office of the Risk Management Officer [7FDCF9176800498 uso. (,4Wln„t,� 6 Date:5 /14/2018 <br />... <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 stJ . Date: 5/14/2018 <br />704E5181ACC1469... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />DocuSigned by: <br />Office of the County Attorney ,�cu+�GS NA, Date: 5/14/2018 <br />328DC480549A4F5... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 <br />Revised 10117 <br />Date: <br />