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HomeMy WebLinkAboutR 2018-361 DEAPR - National Register for Schley GrangeDocuSign Envelope ID: 87DOAB8A- 0690 -426B- 9084- D6ACCBC26F2D ORANGE COUNTY - DEPARTMENT USE ONLY Department Party/Vendor Name: Feambach History Services, Inc, Party /Vendor Contact Person: Heather Fearnbach, President Contact Phone: (336) 765 -2661 Party/Vendor Address: 3334 Nottingham Road City Winston -Salem State: NC Zip: 27104 Department: DEAPR Amount; $5,500 Purpose: National Register nomination for the Schley Grange Budget Code(s): 61370035 850000 20011 Vendor #€ 64264 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one) New ® Renewal ❑ Amendment © Effective Date August 6, 2018 Approved by Board Yes❑ NoZ Agenda Date: N/A This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature PpVIt, Sfav 1L Date: 8/9/2018 511. CFA1 D507A495... 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 QUS& c6Wt.t& Date: 8/9/2018 7FDCF917690 0498... 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 � s�max.w ora Date. 8/9/2018 704E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney �w s uu f7atc: 8/9/2018 328DC480549A4F5... Clerk to the 13oard Received for record retention: All Docusign contracts roust be copied to Sherri Ingersoll upon completion: singersoll(a)orangecountync.gav 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 10117