HomeMy WebLinkAboutR 2020-245 DEAPR - Laura Phillips Quaker Cemetery historic research DocuSign Envelope ID: 1DC97074-B7F4-474F-9667-128FC11EC6AA
ORANGE COUNTY-DEPARTMENT USE ONLY
PartylVendor Name: Laura A. W. Phift Party/Vendor Contact Person: Sarre Contact Phone: 336-727-1969
Party/Vendor Address: 59 Park Blvd City Winston-Salem State: NC Zip: 27127 Department: DEAPR Amount:
2 750 Purpose: Preparation of historic landmark report for Eno(quaker'Cemetery Budget Code(s): 6137003 5 850000
20011 Vendor#64790 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date March 20 2020 Approved by Board Yes❑ No®
Agenda Date:NIA
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:
Department Director's Signature P� SfoudlL Date: 4/2/2020
Agreements for emergency services or repair are nc 611CFA1D507A495... s 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 hardwarelsoftware 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 Managemen#
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
WcuSigned by:
Office of the Risk Management Officer aUSA c4nu& Date: 4/3/2020
7FDCF0176800408...
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 4 Date:
4/6/2020
7NE5181 ACC 1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney � GS NA, Date: 4/6/2020
328DC480549A4F5...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@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 11119 4