HomeMy WebLinkAboutR 2017-066-E AMS - Statler Gilfillen for study of construction methods and materials comparison DocuSign Envelope ID:94E07DAC-9000-4DE4-88D2-16ED6424D6FC
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Statler Gilfillen architect-statler @outlook.com Party/Vendor Contact Person: Statler Gilfillen
Contact Phone: 919-732-6123 Party/Vendor Address: 3302 St. Mary's Road City Hillsborough State: North Carolina
Zip: 27278 Department: AMS Amount: $570.00 Purpose: Study of construction methods and materials comparison
Budget Code(s): 10240320-570000 Vendor# 63294 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 2/9/17 Approved by Board
Yes❑No Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date:
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:
oos�gea ey:
Qlisa(01W-to 1/31/2017
Office of the Risk Management Office Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
�—oos�gea ey:
Office of the Chief Financial Officer el" __ Date: 2/6/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
�—oos�gea ey:
,)o(un,roknts 2/6/2017
Office of the County Attorney, �.o___ Date:
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 6/16 4