HomeMy WebLinkAboutR 2015-223-E DEAPR - MdM Historial Consultants for Agricultural History Research ProjectDocuSign Envelope ID: DA2607DE -OE33- 467E- B8B3- 1CO0123BE8A9
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: MdM Historical Consultants Party/Vendor Contact Person: Jennifer Martin Contact Phone: 919-
368 -1602 Party/Vendor Address: PO Box 1399 (808 Parker St) City Durham State: NC Zip: 27701 Department:
DEAPR Amount: $4,000 Purpose: Agricultural History Research Project Budget Code(s): 10610020 630000 Vendor
# 62927 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New
Renewal ❑ Amendment E] Effective Date May 15t', 2015 Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
r—pav't
Department Director's Signature Sfoiju tL Date:
611CFA1D507A495... 5/15/2015
Information Technologies
(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
- -- DocuSigned "" by:
''�
Office of the Risk Management Officer rAusa,vvt,e,ttb Date:
7FDCF9176800498... 5 15 2015
Financial Services
This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:: ''
Office of the Chief Financial Officer r—P&IAL LAdAdll,(.fbVu Date:
5/25/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
Signed by:
Office of the County Attorney 56Z0CVUU ot t fS Date:
EAAMKEMA8465... 5/26/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran ecountyn_cov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10/14 4
Date: