HomeMy WebLinkAboutR 2015-556-E DEAPR - Greg Tilley's Pressure Cleaning for services to apply seal coating to park shelters DocuSign Envelope ID: 19E4A71 B-E91 B-461 B-ABEF-84C2EFCDC386
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Greg..Tille y's Pressure Cleanin Party/Vendor Contact Person: Greg Tilley illey Contact Phone:CE19
812-3536 PartyNendor Address: 3600 H)vy 54 West City Chapel Hill State: NC Zip: 27516 Department: DEAPR
Amount: j$ 5,800 Purpose: Seal Coating Park Shelters Budget Code(s): 61370035 880000 20039 Vendor 11 45926
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date 10/19/2015 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical fo9ined and content:
Department Director's Signature vavt Sf Date:
611CFA1 D507A495...
Information Technologies
(Applicable only to har•dware/softwrrr•e pro-chases or related services)This agrcement 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, r,6vvt,&b Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the��anner r9pired by the Local Goverrunent Budget and Fiscal Control Act:
ocuSigned b .
Office of the Chief Financial Officer_ C-q °'�`�"� Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to I o9 ?�he�l�d:suffcieifcy:
Office of the County Attorney Jb Date:
EAA3D33EDSA8465...
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion a Dollo d oran ecount ,nc.iov
Tile following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
Revised 10114 4