HomeMy WebLinkAboutR 2014-502 DEAPR - Tommy Lawrence Electrical for electrical service additions DocuSign Envelope ID:89F4F543-24CB-4190-A1B9-OB8FC1C5BCBE
ORANGE COUNTY-DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Tommy Lawrence Electrical Party/Vendor Contact Person: Warren Taylor Contact Piione: 336
599-4771 Party/Vendor Address: P.O. Box 641 City Roxboro State:NC zip: 27573 Department: DEAPR Amount:
$4,386 Purpose: Electrical service additions Budget Code(s): 61370035 880000 20026 Vendor# 30928 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 8/24/2014 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Ah fif Date:
611CFA1D507A495...
Information Technologies
(Applicable only to har(hvar•e/sofht,are piru•chaves or•related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Director of Information Technology Date:
Risk Manaj!emtent
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of Risk Management Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigne by:
Office of the Chief Financial Officer ,;.. Date:
2 ...
Lezal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the Comity Attorney Date:
EAA3D33ED8A8465...
Cleric to the Board
Received for record retention:
DocuSigned by:
Office of the Clerk to the Board FDA A Date:
7E61B3FC087B4DE...
Revised 7/14 4