HomeMy WebLinkAboutR 2014-552 DEAPR - Cleve Wagstaff Stone Masonry, LLC for Stone culverts $5,980DocuSign Envelope ID: F4162074- 2BC7- 47BC- B784- BCEEDFDDC55C
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
PartyNendor Name: Cleve Wagstaff Stone Masonry, LLC Party/Vendor Contact Person: Cleve 1Va sg taff Contact
Phone: 336 597 -1393 Party/Vendor Address: 309 Wagstaff Carver Rd. City Roxboro State: NC Zip: 27574
Department: DEAPR Amount: $5,980 Purpose: Stone culverts Budget Code(s): 61370035 880000 20000 Vendor #
58817 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New
Renewal ❑ Amendment ❑ Effective Date 9/30/2014 Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSignedd by:
Department Director's Signature Sfawu� Date:
611CFA1D507A495...
Information Technolo ies
(Applicable mily to har(hmre/softwam 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 Manazement
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned " by:
'
Office of the Risk Management Officer us. (,byyte& Date:
7FDCF9176800498...
Financial Services
This instrument has been pre audited in the lboan t9�erApired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer F - ' ,i_�V.R ti Date:
2F982EC44=444...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney , bLvu 1°b ufs Date:
EAA3D33ED8A8465...
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Doll oycl a2grangecountyne.goy
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board
Revised 10114 4
Date: