HomeMy WebLinkAboutR 2016-394-E DEAPR - R. S. Jones & Associates, Inc. for land survey services to produce recordable plat for the Pope Farm Conservation Easement DocuSign Envelope ID:OC943255-48AO-4AF2-858E-714AEE815BFE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: R.S.Jones&Associates.Inc. Party/Vendor Contact Person: J.D.Cecil Contact Phone: 919-563-
3623 Party/Vendor Address: 201 W. Clams City Mebane State: NC Zip: 27302 Department: DEAPR Amount:
$4.500 Purpose: To provide land survey services necessM to produce a recordable plat for the Pope Farm conservation
easeament Budget Code(s): 61370035 858044 20006 Vendor # 57711 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date
Approved by Board Yes[]Nor-1 Agenda Date: June 21,2016
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature FVaVLG S1 d AJA,U� Date:
611CFA1D507A495...
Information Technolosies
(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 Pausa, (,OV'vtd 6 Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Docu igned by:
Office of the Chief Financial Officer Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
uSigned by:
Office of the County Attorney 56Z, r6u�s Date:
EAAMKEDM8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 6/16 5