HomeMy WebLinkAboutR 2015-499-E DEAPR - W. L. Bishop to construct Hollow Rock parking area DocuSign Envelope ID: 17FB3C83-7C50-4853-BFFF-C3701731 F099
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: W. L. Bishop Party/Vendor Contact Person: Jerry Smith Contact Phone: 919-732-2546 Party/Vendor
Address:2211 Leah Dr. City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: 82,603 Purpose: Construct
a parking area Budget Code(s): 61370035 880000 20027 Vendor # 059867 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/15/2015
Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signatur C- 33888DlAF3C3423 fldfa Wcdsktr Date:
... 9 1 15
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 Office C- 7MCF9176800498...uSA. (hm,e,ttb Date:
5
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 Office cAU� bin, Date:
232DFFC2C FA847 B... 9/10/2 015
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorne �b ate: 9 11/L V 1yy
EAA3D33ED8A8465... 5
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolto d a,oranaecountync. 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 10