HomeMy WebLinkAboutR 2016-191-E DEAPR - McQueen Construction Inc. for grading and paving at Blackwood Farm Park DocuSign Envelope ID:296C1EF2-ADDC-421A-8009-A03097D2751D
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: McQueen Construction Inc. Party/Vendor Contact Person: Harvey McQueen Contact Phone:
919-697-0614 Party/Vendor Address: 619 Patrick Rd. City Bahama State: NC Zip: 27503 Department: DEAPR
Amount: $5,700 Purpose: Grading and Paving Budget Code(s): 61370035 880000 20037 Vendor# 59479 (N/A
if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑
Amendment ❑ Effective Date April 4,2016 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technigWJ &pd content:
Department Director's Signature gay 44 Sfa�u� Date:
Ej611CFAlD507A495 3 24 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:
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Office of the Risk Management Officer &. (,OYwt,�16 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:
7NE5181ACC1409... 3/24/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
uSigned by: t,
Office of the County Attorney 56Z, r6 ,i' Date:
EAAMKEDM8465... 3/24/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollotid cl7oran=„ecount nc.goy
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