HomeMy WebLinkAboutR 2016-205-E AMS - Swanson and Associates, P.A. for Veterans Memorial Design DocuSign Envelope ID: 3D33619A-OD44-4FDD-8749-BC3C4975OD59
ORANGE COUNTY—DEPARTMENT USE ONLY ag
Department
Party/Vendor Name: Swanson and Associates, P.A. Party/Vendor Contact Person: David Swanson Contact Phone:
919-929-9000 Party/Vendor Address: 100 East Carr Street City Cairboro State: NC Zip: 27510 Department: AMS
Amount: $3,500 Purpose: Veterans Memorial Design Budget Code(s): tbd Vendor # 57954 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑
Effective Date 4/11/16 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
U Sg y
Department Director's Signature b' w Date: 4/5/2016
C o<
Information Technologies
(Applicable only to hardware/software purchases or related set-vices)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:
Office of the Risk Management Officer lusas(odw 6 Date: 4/6/2016
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer
4/8/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
U Sg dby 4/11/2016
Office of the County Attorney�6 s oywts Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oranizecountync.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