HomeMy WebLinkAboutR 2015-473-E AMS - Statler Gilfillen for Tenancy Policy Research DocuSign Envelope ID:OB0004FA-A182-4D23-AAC9-C4A5A4ED4213
ORANGE COUNTY-DEPARTMENT USE ONLY
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Departmen
Party/Vendor Name: Statler Gilfillen Party/Vendor Contact Person: Statler Gilfiflen Contact Phone: 919-732-6123
Party/Vendor Address: 3302 St Mary's Road City Wtj�sbor(j State: NC Zip: 27278 Department: AMS Aniount:
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$498 Purpose: Tenancy Policy Research Budget Code(s): 10240320-630000 Vendor 4 New (N/A if new vendor)
Vendor is a BOCC consultant"? Yes El NoD Contract Type: (Check one) New E Renewal F-1 Amendiment EJ
Effective Date Approved by Board YesEl Non Agenda Date:
This agreement is approved as to techn" &mamgAvApontent:
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Department Director's Signature Date: 8/23/2015
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Information Technologies
(AI)lVicabli.,on1j,to hay r(lwarelsoffware purchases or related der vices)'Th is agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance s t"indards, specifications, and requirements:
DocuSigned y:
Office of the Risk Management Officer ausel, (muftb Date- 8/25/2015
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Financial Services
This instrument has been pre-audited in the I EuwjA6mwyd by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer PWAL Date: 8/25/2015
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Lep-all Services
This agreement is approved as to legal form DqoffiLh ikvy:
8/25/2015
Office of the County Attorney
Clerk to the Board
Received for record retention:
All Doc:usign contracts must be copied to Donna Lloyd upon completion Ve4 1MLU) d_(jeor4n
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10114 4