HomeMy WebLinkAboutR 2016-193-E DEAPR - Coulter Jewell Thames PA for TOPO survey DocuSign Envelope ID:06FA3CE5-ECA5-46AD-81OC-45C308AOCA40
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Coulter Jewell Thames PA Party/Vendor Contact Person: Jeff Williams Contact Phone: 919-
- 682-0368 Party/Vendor Address: 111 West Main Street City Durham State: NC Zip: 27701 Department: DEAPR
Amount: $2,3000 Purpose: Topo SurveX Budget Code(s): 61370035 880000 20028 Vendor # 54067 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ® Effective Date 5/23/2016 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by,
Department Director'sSignatu��61 4 SlAhu� Date:
1 CFA1D507A495... 3/24/2016
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:
'�.�.
Office of the Risk Management Officer QuSa r wt,�16 Date:�r6
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 Offic r Date:
7D4E5181ACC1409... 3�29/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorne .16 In, K6tyfs Date:
EAAMKEDM8465... 3/29/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ 1Jolloydnoranae��
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