HomeMy WebLinkAboutR 2017-278-E Planning - TischlerBise for Payment In Lieu report DocuSign Envelope ID:463F9D68-DFE3-4C3B-91 B7-2C2231A6F350
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: TischlerBise Party/Vendor Contact Person: Carson Bise Contact Phone: 301-320-4860
Party/Vendor Address: 4701 Sangamore Rd. St. S240 City Bethseda State: MD Zip: 20816 Department: Planning
&Inspections Amount: $41,500 Purpose: Payment In Lieu Budget Code(s): 10695020-720255 Vendor#56683
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New El
Renewal❑ Amendment ❑ Effective Date upon execution Approved by Board Yes No Agenda Date:
This agreement is approved as to technicdkomacl content:
Department Director's Signature (fail bt1th Date: 7/7/2017
'—846D 10DA3CFD4C2...
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:
r---DocuSigned by:
'll
Office of the Risk Management Officer a�1S& rbVln,tb Date: 7/7/2017
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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:
DocuSigned by:
Office of the Chief Financial Office (1 p 4441-6-x-
Date: 7/7/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
c DocuSigned by:
Office of the County Attorney ,366. Ietlitx S Date/7/2017
' —EAA3D33ED8A8465...
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 2/17
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