Orange County NC Website
DocuSign Envelope ID:250A6487-28BB-496A-ABAA-7841A556379C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Landmark Surveying, Inc Party/Vendor Contact Person: Doug Yarbrough Contact Phone: <br /> 336-229-6275 Party/Vendor Address: PO Box 839 City Graham State: NC Zip: 27253 Department: DEAPR <br /> Amount: $5,985 Purpose: Provide land survey services to produce a recordable plat for the conservation easement <br /> on Gledhill farm Property Budget Code(s): 61370035 899950 20006 Vendor # 44120 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date May 3, 2019 Approved by Board Yes® No❑ Agenda Date: December 11, 2019- closed <br /> 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 /> DocuSigned by: <br /> Department Director'sSignat � f't� Date: 5/3/2019 <br /> Agreements for emergency serv. S1cFA1D5o7A495.. .,ubject 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 /> DocuSigned by: <br /> Office of the Risk Management Offi Qusa 5/28/2019 <br /> L.4f�{�b Date: <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 Off r 4 � Date:5/28/2019 <br /> 7NE5181ACC1469. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorc�66 Pkk , 5 Date:6/5/2019 <br /> EAA3D33ED8A8465.. <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 />