Orange County NC Website
Browse       Search
DocuSign Envelope ID:2D2617C6-D4AC-40D4-85B2-275F04B41BC6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Matthew S. Jarrell Land Surveying, PLLC Party/Vendor Contact Person: Matthew Jarrell <br /> Contact Phone: 919-932-0293 Party/Vendor Address: 314 Yorktown Drive City Chapel Hill State:NC Zip:27516 <br /> Department: DEAPR Amount: $9,300 Purpose: Provide land survey services to produce a recordable plat for a <br /> conservation easement on Spring Crest Farm Budget Code(s): 61370035 899950 20006 Vendor# 65627 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date May 3,2019 Approved by Board Yes®No❑ Agenda Date: November 13, <br /> 2018-closed session <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> ❑ocuSigned by: <br /> Department Director's Signat � �� � Date: 5/5/2019 <br /> Agreements for emergency servii-__ _--11❑_ ----5_____ibject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> ❑ocuSigPned by: <br /> Office of the Risk Management Of aUS& (,b�6 Date:5/6/2019 <br /> 7F❑CF91769004M. <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 /> ❑ocuSigned by: <br /> Office of the Chief Financial Ofli Cc <br /> .e.4aa.01 Date.5/6/2019 <br /> 7❑4E5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ❑ocuSigned by: <br /> , <br /> Office of the County Attor 6�), P '`,fs Date: 5/6/2019 <br /> El+A3❑33E❑8AM65.. <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 Date: <br /> Revised 12/18 <br /> 8 <br />