HomeMy WebLinkAboutR 2015-621-E AMS - Carolina Earthscapes, Inc. for SportsPlex restroom renovations DocuSign Envelope ID: 5D74B845-F7B8-4E81-AF36-DCC9BA40DDA7
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carolina Earthscapes Inc. Party/Vendor Contact Person: David Fletcher Contact Phone: 919-
730-5373 Party/Vendor Address: 1841 North NC HWY 119 City Mebane State: NC Zip: 27302 Department:
Asset Management Services Amount: $17,284 Purpose: Renovate Restrooms at Triangle SportsPlex Budget
Code(s): 53530030-803000 Vendor#63117 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No®
Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date 11/16/2015 Approved by Board
Yes No® Agenda Date: N/A
This agreement is approved as to to DocuSigned by: ent:
2 �""" 'O"' 12/3/2015
Department Director's Signature 9ES8CA46CF64498... Date:
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 rpoc�usigned by: Is, specifications, and requirements:
a,tSA Colliu h6 12/7/2015
Office of the Risk Management Officer_ 7FDCF917E80049E... Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSiWned by:
12/12/2015
Office of the Chief Financial Officer 7D4E5181Acc140.0.. Date:
Legal Services
This agreement is approved as to DocLSi ned by: iency:
i6tUA, Not, 12/14/2015
Office of the County Attorney_ EAA3D33ED8A 4,35... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Po licacifOo rangecounlync.m
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/14 5
DocuSign Envelope ID: 5D74B845-F7B8-4E81-AF36-DCC9BA40DDA7
Office of the Clerk to the Board Date:
Revised 10/14 6