HomeMy WebLinkAboutR 2014-544 DEAPR - Wilkerson Grading for culvert footings $2,475DocuSign Envelope ID: D859D006- 4CA6- 4CC2- B349- 813F831C10C3
ORANGE COUNTY — DEPARTMENT USE ONLY
Deuartment
Party /Vendor Name: Wilkerson Grading Party/Vendor Contact Person: Paul Wilkerson Contact Phone: 919 732 -2579
Party /Vendor Address: 4600 Brock Drive City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount:
$2,475 Purpose: Culvert footings Budget Code(s): 61370035 880000 20039 Vendor 4 61663 (N /A 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:
DocuSigned by:
Department Director's Signature Sfawu� Date:
611CFA1D507A495...
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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
rADocuSigned by:�' 11LL Office of the Risk Management Office US. (,bn e & Date:
7FDCF9176800498...
Financial Services
This instrument has been pre - audited in the manner roc uired by the Local Government Budget and Fiscal Control Act:
DocuSigned
Office of the Chief Financial Officer F - _)_ tiVR� Date:
2F982EC44C2C444...
Legal Services
This agreement is approved as to legal form and sufficiency:
Signed by:
Office of the County Attorney 5bZ, outs Date:
EAAMKEMA8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10/14 4
Date: