HomeMy WebLinkAboutR 2016-187-E DEAPR - W. L. Bishop for asphalt paving at Hollow Rock Nature Park DocuSign Envelope ID:4B278511-4170-44D5-BDD9-OAE98C5E8FAE
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, Suitel City Hillsborough State: NC Zip: 27278 Department: DEAPR
Amount: 19,3888.00 Purpose: Asphalt paving_ 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 March 21,2016 Approved by Board Yes[]No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSIignedby:
Department Director's Signatur Via Sl 1 at"'a Date:
611CFA1D507A495... 3/11/2016
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 Faus. ch"tt,�16 _ Date:
7FDCF9176800498... 3/14/2016
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 �� 0 . Date:X16
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:,'��,,
Office of the County Attorney EjEAA3D33ED8A8465...6LVt, r6ufs Date:
3/17/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd cz ora�nnc. 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 1/16 5