HomeMy WebLinkAboutR 2018-717 DEAPR - Robert Jones and Associates Harvey's Chapel Old Cemetery Survey DocuSign Envelope ID:5B46C8FA-F9AB-4AOA-9FO8-7135E13A4E52
GRANGE COUNTYY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Robert S. Jones and Associates Party/Vendor Contact Person: JD Cecil Contact Phone: 919
563-3623 Party/Vendor Address: 201 W. Clay Street City Mebane State: NC Zip: 2.7302 Department DEAPR
Amount: $1,240 Purpose: Survey of site of original historic Harvey's Chapel and old cemetery at Seven Mile Creek
Budget Code(s): 61370035 899950 20006 Vendor# 57711 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ NoE Contract Type: (Check one)New 0 Renewal ❑ Amendment ❑ Effective hate October 22,2018
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 FOAVt, `A,I&U Da Le: 10/30/2018
611 CFA1 D507A495...
Information Technologies
(Applicable only to hardwarelsoftrvare 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 Manadernent
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned__by:
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Office of the Risk Management Officer F&A, v1A.�,1(b Date: 10/31/2018
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 Date: 11/1/2018
7D4E5181ACC1409...
Lep_al Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney a►MGS bnINA, Date: 11/2/2018
EA328DC480549A4F5
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri ingersoll upon completion: singersoll(@,orangecountvnc.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 10117(Mgr appry 5k 6118) 4