HomeMy WebLinkAboutR 2015-660-E DEAPR - Natural Stone Installation to construct stone sign base DocuSign Envelope ID: FF6CCA42-9778-4C65-87A0-68F6BE066202
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Pasty/Vendor Name: Natural Stone Installation Party/Vendor Contact Person: Brooks Burleson Contact Phone: (919)
291-9768 Party/Vendor Address: 1425 Grecian Woods Lane City Raleigh State: NC Zip: 27606 Department:
DEAPR Amount: $8,500 Purpose: Construct stone sign base Budget Code(s): 61370035 880000 20027 Vendor 11
52964 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New El
Renewal ❑ Amendment ❑ Effective Date 12/8/2015 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Pe Wt. gal/La Date:
611CFA1 D507A495...
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 ((USX COWt,t-* Date:
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 Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney ,,OU A, rOlt Date:
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd ri orangecountync,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 4