Orange County NC Website
Browse       Search
DocuSign Envelope ID:5EE68940-7BOE-40CA-AC7C-639C67B4AO19 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Richard Shaw Party/Vendor Contact Person: Richard Shaw Contact Phone: 919-998-9024 <br /> Party/Vendor Address: 207 S Cameron Street City Hillsboroup:h State: NC Zip: 27278 Department: DEAPR <br /> Amount: 11 700 Purpose: lands Legacy Consultant Budget Code(s): 61370035 850000 20011 Vendor# 53127 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: 1 <br /> Department Director's Signature:C1)611r-FA1D507A495 alti*j �fG�ln..(,(l, Datc: 9/30/2018 <br /> .. <br /> Information Technologies <br /> (Applicable only to har(Awarelsoftware 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 /> Office of the Risk Management Office Musa Cb�6 Date: 10/1/2018 <br /> 7FDCF017E800498... <br /> Financial Services <br /> I <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 67��, �o�w/dse.. Date: <br /> 110/1/2018 <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 6LW P lfs Date: 10/1/2018 <br /> EAAM33EMA905... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg solI@orangecountync.goy <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 10/17 <br /> � E <br />