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DocuSign Envelope ID:6A6B17DA-7C81-4C16-AA4F-2855F76ECDD7 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Fearnbach History Services,Inc. Party/Vendor Contact Person: Heather Fearnbach,President <br /> Contact Phone: 336 765-2661 Party/Vendor Address: 3334 Nottingham Road City Winston-Salem State: NC <br /> Zip: 27104 Department: DEAPR Amount: $18,g04 Purpose: Old Courthouse Historical and Architectural <br /> Research and Reports Budget Code(s): 61370035 870000 10061 Vendor#64264 (NIA if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ NoZ Contract Type: (Check one) New ® Renewal ❑ Amendment <br /> Effective Date November 16,2018 Approved by Board Yes[]NoE Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> rl <br /> Department Director's Signature n Sf G�.Uidl Date: 11/20/2018 <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 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 Officer QUS66 cbVlit.t,f�6 Date:11/26/2018 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial.Officer s��rx.wora Date: 11/26/2018 <br /> 7NE5181 ACC 1409... <br /> lie al Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney amtS NA, Date: 11/26/2018 <br /> 328DC489549A4F5.... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll,,,oran e� nc, oy <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 /> 8 <br />