HomeMy WebLinkAboutR 2015-189-E DEAPR - Tommy Lawrence Electrical for electrical service additions DocuSign Envelope ID:05D7461F-6E02-485E-BC37-05A109DE2D2B
ORANGE COUNTY-DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
PartyNendor Name: Tommy Lawrence Electrical PartyNendor Contact Person: Warren Taylor Contact Phone: 336
599-4771 Party/Vendor Address: P.O. Box 641 City Roxboro State:NC Zip: 27573 Department: DEAPR Amount:
$6,500 Purpose: Electrical service additions Budget Code(s): 61370035 880000 20039 Vendor#30928 (NIA if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 4/20/20154 Approved by Board Yes[]No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature 50 aVt Sf0JA,0'L Date:
611CFA1D507A495...
Information Technologies
(Applicable only to hardwarelsoffware purchases or related ser4ces)This agreement has been reviewed and is
approved as to information tecimology content and specifications:
Office of the Director of Information Technology Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of Risk Management Aura, 66Vtit 6 Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned byrr:
Office of the Chief Financial Officer MAL l(fbVU Date:
232DFFC2CFA847B...
Leval Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney 161A,� 1°e�t i�S Date:
EAAMKEMA8465...
Cleric to the Board
Received for record retention:
Office of the Cleric to the Board Date:
Revised 7/14 4