Orange County NC Website
Revised 11/19 9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Party/Vendor Name: Highland Mapping Inc. Party/Vendor Contact Person: Kent Rothrock Contact Phone: 828- <br />608-0521 Party/Vendor Address: PO Box 2124 City Banner Elk State: NC Zip: 28604 Department: Tax <br />Amount: $13,500 Purpose: ArcGIS Support Budget Code(s): 10331020-630000 Vendor # 56728 (N/A if new <br />vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal <br />Approved by Board YesEffective DateAmendment 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 prior to execution of the agreement: <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement <br />have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br />This agreement was inadvertently lost during the routing process, thereby the signature process was not completely <br />execute. Henceforth, it is being re-routed. The services have since begun. <br />Information Technologies <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved <br />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 />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board 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 />DocuSign Envelope ID: 3B00B215-5397-4FA9-A1B4-52A2C476DE3FDocuSign Envelope ID: 63EB2BD9-5FF0-4432-BCAD-E819D4BD0C07