HomeMy WebLinkAboutR 2015-345-E DEAPR - Hansell Painting Co, LLC to remove paint and repaint front porch at Blackwood Farm DocuSign Envelope ID:41A7B1F9-5095-475D-BEDD-BA78B97467EF
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Hansell Painting Co. LLC Parry/Vendor Contact Person: Philip Hansen Contact Phone:
(919) 599-5994 Party/Vendor Address: 606 United Drive City Durham State: NC Zip: 27713 Department:
DEAPR Amount: $4,064 Purpose: Blackwood Farm paint removal and repainting front porch Budget Code(s):
61370035 880000 20000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 20'h, 2015 Approved by
Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSignedd by:
Department Director's Signature 5av't toiju 'L Date: 7/17/2015
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 r—Ausa, 66vvt,e 6 Date: 7/19/2015
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 INAL l 61VU Date: 7/20/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
Signed by:
Office of the County Attorney 56Z, otxfS Date: 7/21/2015
EAAMKEMA8465._
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangetync.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