HomeMy WebLinkAboutR 2015-168-E DEAPR - Mulberry Building Co. LLC for Blackwood Farm picnic shelter DocuSign Envelope ID: EE2AOFEC-39A2-4424-A26B-C5C717E18747
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Mulberry Building Co. LLC Party/Vendor Contact Person: Peter Ye ag nian Contact Phone:
(919) 812-4243 Party/Vendor Address: 9501 Highway 86 North City Cedar Grove State: NC Zip: 27231
Department: DEAPR Amount: $12,000 Purpose: Blackwood Farm picnic shelter Budget Code(s): 61370035
880000 20037 Vendor# 62943 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date April 1,2015 Approved by Board Yes
❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature r—PAVIL sto"U'L Date: 3/27/2015
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 Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned""by:''�
Office of the Risk Management Officer Aura, (bvvU& Date: 3/30/2015
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
r—PMAL tA.IA, ,(''616, Date: 4/5/2015
232DFFC2CFA84713
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorney 56,
LVU 1°b ufs Date: 4/6/2015
EAAMKEMA8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@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 10/14 5