HomeMy WebLinkAboutR 2015-164-E DEAPR - McQueen Construction for paving at Blackwood Farm DocuSign Envelope ID: B4AED305-BC6D-4956-93F9-OE7970FDE75C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Parry/Vendor Name: McQueen Contstruction Party/Vendor Contact Person: Harvey McQueen Contact Phone:
919-617-0694 Parry/Vendor Address: 619 Patrick Ct City Bahama State: nc Zip: 257503 Department: DEAPR
Amount: $34,600.00 Purpose: paving at blackwood farm Budget Code(s): 61370035 880000 20037 Vendor #
59479 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
Renewal❑ Amendment ❑ Effective Date 4/1/2015 Approved by Board Yes[]No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSig ned by:
Department Director's Signature P611CFAlD507A495...GWtd1 SfaJAA Date: 3/24/2015
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""t e by:''111L
&
Office of the Risk Management Office aus . rbvv Date: 3/26/2015
7FDCF9176800498...
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 P.,� t"*byu Date: 3/27/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney �66� otx f S Date: 3/27/2015
EAAMKEMA8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ 13o11oyd(&,oran ec countyL1c.g_ov
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 10/14 5