HomeMy WebLinkAboutR 2018-008 DEAPR - Laura Phillips Historic records bookDocuSign Envelope ID: F630E90C -F2C1- 4392 -Al DD- 04B9E5ODlAD4
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: N/A Purpose: To amend existing contract for Historic Resources Book: Phase 1 Review and
Assessment to extend end date from Dec. 31, 2017 to April 30, 2018; original contract amount remains unchanged
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 January 2, 2018
Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Date:1 /2/2018
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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned� by:
"
Office of the Risk Management Officer FaUS& V17t,r.,{fb Date: 1/3/2018
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 a — 0.&. Date: 1/3/2018
7NE5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:,�,
Office of the County Attorney F)6LL r6bul � Date: 1/3/2018
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran-ecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 2/17 5
Date: