HomeMy WebLinkAboutR 2016-329 Planning - City of Mebane for Efland sewer maintenance ORANGE COUNTY—DEPARTMENT USE ONLY C-20� - 5c2Z-9
Department V n& — D vvy 3 vd-OLS
Party/Vendor Name: City of Mebane Party/Vendor Contact Person: Chris Rollins Contact Phone: (919)304-9206
Party/Vendor Address: 106 E Washington St City Mebane State:NC Zip:27302 E*artment: Planning Amount:
$60,000 Purpose: Efland Sewer Maintenance Budget Code(s): 51360120-i710004endor# 800039 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one) New E Renewal ❑
Amendment ❑ Effective Date April 29,2016 Approved by Board Yes❑NoN Agenda Date:
This agreement is approved as to technical and nd ntent-
Department Director's Signatur ZjDate:
Information Technologies
(Applicable only to hardwarelsoftware 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:
Office of the Risk Management Officer_ Date:-"h 1,
,v —7—
Financial Services
This instrument has been pre-audited in the otter r aired y the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 4
Leeal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney Z-� Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolIL)Yd@oranpecounwc.gov
The following signature block is for hard copies only is re ytired for Docusign contracts:
Office of the Clerk to the Board Date:
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