HomeMy WebLinkAboutR 2019-249 DEAPR - Freehold Surveying Holden Roberts land survey for conservation easement DocuSign Envelope ID:AOEF7CE6-ECCE-42BB-9495-692DE241D757
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Freehold Land Surveys, Inc Party/Vendor Contact Person: Steve Hallstrom Contact Phone:
919-929-8090 Party/Vendor Address: 1777 Fordham Blvd., Suite 104 City Chapel Hill State: NC Zip: 27514
Department: DEAPR Amount: $6,600 Purpose: Provide land survey services to produce a recordable plat for a
conservation easement on Holden-Roberts Farm Budget Code(s): 61370035 899950 20006 Vendor#32666 (N/A
if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑
Amendment ❑ Effective Date April 22,2019 Approved by Board Yes®No❑ Agenda Date: December 11,
2018-closed session
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
DocuSigned by:
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Department Director's Signa Date:4/26/2019
Agreements for emergency serv____g 1CFA,❑--- ---5--___subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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 Of aUsa LQ►►�i6 Date:4/26/2019
7FDCF91769004M-
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 Ofti Cc
Date:4/29/2019
7NE5181ACCAH-
Legal Services
This agreement is approved as to leeal form and sufficiency:
DocuSigned by:
Office of the County Attor , 6&), Pk�,fs Date:4/29/2019
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18
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