HomeMy WebLinkAboutR 2016-489-E AMS - Statler Gilfillen Architect MBA for construction admin. services DocuSign Envelope ID: 34D18779-D403-42E9-B265-960F4F5ED000
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Statler Gilfillen Architect MBA Party/Vendor Contact Person: Statler Gilfillen
(StatlerGilfillen a,hotmail.com) Contact Phone: 919.732.6123 Party/Vendor Address: 3302 St. Mary's Road City
Hillsborough State: NC Zip: 27278 Department: AMS Amount: $5,100.00 Purpose: Construction Admin Services
Budget Code(s): 61370035-892000-30012 Vendor# 93294 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 25, 2019
Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signatur YY.# bin Date: 8/5/2016
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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:
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Office of the Risk Management Officer Date: 8/24/2016
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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 III" Date: 8/24/2016
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Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorne3 Date: 8/25/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran ecountync. og_v
The following signature block is for hard copies only and is not required for Docusign contracts:
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Office of the Clerk to the Board Date:
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Revised 6/16 5
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