Orange County NC Website
DocuSign Envelope ID:54069D80-59AD-476A-ADF8-03D352860B20 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Kennon Craver PLLC Party/Vendor Contact Person: Brian Ferrell Contact Phone: 919-490- <br /> 0500 Party/Vendor Address: PO BOX 51579 City Durham State:NC Zip: 27717-1579 Department: AMS Amount: <br /> Not to Exceed$5000.00 (Five Thousand Dollars) Purpose: To assist in the sale of 401 Valley Forge Rd, Hillsborough <br /> NC Budget Code(s): 10240320-630000 Vendor#62291 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> 0 No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by <br /> Board Yes❑No❑ 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 ' ,tgsg"ion of the agreement: <br /> Department Director's Signatu eS� AMA Date:2/13/2021 <br /> Agreements for emergency services di RfMI'A iiot 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 sufficienC:=76nMU498 <br /> §K .standards,specifications,and requirements: <br /> pnt,{fb <br /> Office of the Risk Management Office Date: 2/16/2021 <br /> Ds <br /> f F Financial Services <br /> This instrument has been pre-audited i VAyrequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office rJ�p Date: 2/16/2021 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to lggal form and sufficiency: <br /> uSigne y: <br /> Office of the County Attorney ,bShpL A-t VYlln, Date?/17/2021 <br /> 4C5F3CDDFOB94F6... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 4 <br />