HomeMy WebLinkAboutR 2016-386-E DEAPR - Tommy Lawrence Electrical for replacement walking track lighting DocuSign Envelope ID:021EDE57-BA89-4F50-B24D-4B48F14E6FC9
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tommy Lawrence Electrical Party/Vendor Contact Person: Warren Taylor Contact Phone:
336 599-4771 Party/Vendor Address: PO Box 641 City Roxboro State: NC Zip: 27573 Department: DEAPR
Amount: $51,754. Purpose: Replacement Walking Track Li hg ting Budget Code(s): 61370035 880000 20039
Vendor#30928 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date July 19, 2016 Approved by Board Yes❑ No®
Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Fvavt Sfa'a Date:
611CFA1D507A495...
Information Technologies
(Applicable only to hardtivare/softivare 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:
DocuSig/'ned"by:
'�.�.
Office of the Risk Management Officer Pausa, r,OV't td 6 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 (' °n Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
Signed by:
Oce of the County Attorney 56,ocu ��ffiDate:
EAAMKEDM8465...
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync. 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 6116
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