HomeMy WebLinkAboutR 2017-550-E DEAPR - Laura A. W. Phillips - Historic Resources Book, Phase 1 review and assessment DocuSign Envelope ID: 331 B6A4A-46C2-4E66-A54C-56994DF17997
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Laura A. W. Phillips Party/Vendor Contact Person: Laura A. W. Phillips Contact Phone: 336-
727-1968 Party/Vendor Address: 59 Park Boulevard City Winston-Salem State: NC Zip: 27127 Department:
DEAPR Amount: $6,000 Purpose: Historic Resources Book: Phase 1 Review and Assessment Budget Code(s):
30610020 630000 71065 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No
Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date September 30,2017 Approved by
Board Yes❑No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature �a chilA,GIt Date: 10/3/2017
611CFA1D507A495._
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:
''�
Office of the Risk Management Officer 1' Liso. Canal-to tt0 Date: 10/4/2017
7FDCF9176800498...
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 Officer (94f.../6A +� .i Date: 10/6/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney ,)ttuA, rblityts Date: 10/9/2017
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 5