HomeMy WebLinkAboutR 2015-213-E DEAPR - Asphalt Experts, Inc. for paving DocuSign Envelope ID: DDEE9F74-82D3-4FB8-B7A2-C28AC485259B
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Asphalt Experts, Inc. Party/Vendor Contact Person: Ed Peed Contact Plioue: 919 384-9889
Party/Vendor Address: 5112 Neal Rd. Suite 100 City Durham State: NC Zip: 27705 Department: DEAPR
Amount: $28,500 Purpose: Paving Budget Code(s): 61370035 880000 20039 Vendor # (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date May 5,2015 Approved by Board Yes[:]No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature �L fA.A UL Date:
611CFA1D507A495...
Information Technolo2iec
(Applicable only to hardn,are/softtit,are prrrcliases ot-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 Mana eg Went
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Offices 5&#, r,6V17t, 6 Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSi+gn__ed by:
Office of the Chief Financial Officer l l(fblti Date:
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
Signed by:
Office of the County Attorney 56Z, otxfs Date:
EAAMKEMA8465...
Cleric to the Board
Received for record retention:
All Docusigrt contracts must be copied to Donna Lloyd upon completion a Doi loyd a,orangeeotnttyiic.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
Revised 10/14 5