HomeMy WebLinkAboutR 2016-285-E Planning - Paul L. Wilkerson Jr. Grading Company for sewer easement grading and repair DocuSign Envelope ID:094C147D-86BF-4209-9925-2A2FCCACE30D
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Paul L. Wilkerson Jr. Grading Company Party/Vendor Contact Person: Paul Wilkerson Contact
Phone: 919-732-2579 Party/Vendor Address: 4600 Brock Drive' City Hurdle Mills State: NC Zip: 27541
Department: Planning Amount: $2,150 Purpose: Sewer easement grading and repair Budget Code(s): 51360120-
571000 Vendor#61663 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[] Contract Type: (Check
one)New® Renewal ❑ Amendment ❑ Effective Date 5/13/2016 Approved by Board Yes❑No® Agenda
Date:
This agreement is approved as to tec ',&L,ppf d content:
,¢
Department Director's Signature ��"0 JI� Date: 5/16/2016
846D10DA3CFD4C2...
Information Technolosies
(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'b"y: "11
Office of the Risk Management Office
QuSSa rbVlnR,lt}'D Date: 6/3/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
ocu igned by:
6/6/2016
Office of the Chief Financial Office CC s�g2�sz, C�
7D4E5181ACC1409... Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:,'�t
Office of the County Attorne
66, r6uw s Date: 6/6/2016
0EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.ny_c.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 1/16 4