Orange County NC Website
DocuSign Envelope ID:96B57C42-8B3B-4F89-8D4E-CF5F2A1751A6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Analytical Consultants Party/Vendor Contact Person: Paul. L. Snow Contact Phone: 919-929- <br /> 9539 Party/Vendor Address: 125 Kingston Dr, Ste 206 City Chapel Hill State: NC Zip: 27514 Department: AMS <br /> Amount: $2700 Purpose: property ppraisals 501 / 503 W Franklin & 108 S Roberson Streets Budget Code(s): <br /> 10240320-630000 Vendor#41103 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> UocuSigned by: <br /> Department Director's Signature EfW_t_ 9MA Date9/19/2019 <br /> sooscoaes�aaac�. <br /> Agreements for emergency services of.,,r�.. �. ..—--,-ct 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 was <br /> 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 /> �Docusigmd by: <br /> Office of the Risk Management Officer UuSa 66nuffb Date:9/23/2019 <br /> 7 FDCF9176303495.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Docu3igned W: 9/2 4/2 019 <br /> Office of the Chief Financial Officer�( Date: <br /> 7D4E51B1ACC'409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docusigned by: <br /> Office of the County Attorney �� Xb��S Date: 9/24/2019 <br /> EA.43633ED9AB465... <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 4 <br />