Orange County NC Website
DocuSign Envelope ID: B4E2BBD3-F2DA-436D-AB94-747C600058E2 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: HH Architecture Party/Vendor Contact Person: Kristen Hess (khess(&HH-Arch.com Contact <br /> Phone: 919-828-2301 Party/Vendor Address: 1100 Dresser Court City Raleigh State: NC Zip: 27609 Department: <br /> AMS Amount: $4900.00 Purpose: Unfit for 149 Scottswood Blvd (Churton Grove) Budget Code(s): 61370035- <br /> 870000-10069 Vendor#67366 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 02/14/2020 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 /> DocuSigned by: <br /> Department Director'sSignat siw• 9MA Date: 3/10/2020 <br /> Agreements for emergency servic sD❑9C❑6B81844C5... subject 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 /> DocuSigned <br /> _by: <br /> . <br /> Office of the Risk Management Offi aUsa LQ 6 Date: 3/10/2020 <br /> DS 7FDCF9176800498... <br /> �7L Financial Services <br /> This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Offic lr7NE5181ACCAN <br /> Date: 3/12/2020 <br /> . <br /> Legal Services <br /> This agreement is approved as to leeal form and sufficiency: <br /> DocuSigned by: <br /> Office of the Count Attor 3/12/2020 <br /> y C?C5F3CDDF0B94F6 <br /> St�„ �l,yVlln, Date: <br /> ... <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 11/19 4 <br />