HomeMy WebLinkAboutR 2017-289-E AMS - Picket Sprouse for consulting services for potential land purchase along the Hwy 70 corridor DocuSign Envelope ID:FBE5A7D4-AF46-4AE8-8A23-2D738A9E441A
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Picket Sprouse Party/Vendor Contact Person: Mark O'Neal, (mark°aapickett-j
sprouse.corn) Contact Phone: 919-287-3051 Party/Vendor Address: 3805-A University Drive City
Durham State: NC Zip: 27707 Department: AMS Amount: NTE $1000.00 Purpose: Consulting Services for
potential land purchase along the Hwy 70 corridor Budget Code(s): 61370035-870000-10020 Vendor #
59177 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date 4-24-2017 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
l---DocuSigned by:
Department Director's Signature 94 7°"� ° Date:
7/10/2017
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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:
DocuSigned by:
Labso.C611AA{0 7/11/2017
Office of Risk Managemen DG 600°690 Date:
Financial Services
[7,2 This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
r---DOCsiged by:
Office of the Chief Financial Officer ("1" "6-46" Date: 7/11/2017
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Legal Services
This agreement is approved as to legal form and sufficiency:
l---DocuSigned by:
,)alum,ret,w}s 7/11/2017
Office of the County Attorney, CAA9D9 WA9•C5 Date:
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 2/17