HomeMy WebLinkAboutR 2016-178-E DEAPR - Design Dimensions, Inc. for Cedar Grove history wall design Phase 1 DocuSign Envelope ID:9A42A14F-A9B7-4E76-9457-9C3B95A32587
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Design Dimensions, Inc. Parry/Vendor Contact Person: Betsy Peters Contact Phone: 919-828-
1485 Party/Vendor Address: 901 North West Street City Raleigh State: NC Zip: 27603 Department: DEAPR
Amount: $5,700 Purpose: Cedar Grove History Wall Design Phase 1 Budget Code(s): 10511030 800000 20002
Vendor# 63071 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date Feb. 19, 2016 Approved by Board Yes❑No® Agenda
Date:
This agreement is approved as to technical form and content:
DocuSignedd by:
Department Director's Signature FVAWI sIA" Date: 2/19/2016
611 CFM D507A495...
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 Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
DocuSigned""by:
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Office of the Risk Management Officer Faus& r,Orv�c,�16 Date: 2/22/2016
7FDCF9176800498...
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 � Date: 3/7/2016
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7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficien :
ocu Signed by:,'��,,
Office of the County Attorney 56,
�b��vl' Date: 3/8/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 1/16 4