HomeMy WebLinkAboutR 2016-516-E DEAPR - Clark Poe Construction, Inc. - removal of lead paint abatement at Hollow Rock Store DocuSign Envelope ID:41BE4325-OBD2-422C-9B8E-5573261DCDC4
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Clark Poe Construction, Inc. Party/Vendor Contact Person: F. Clark Poe Contact Phone:
(919) 625-5104 Party/Vendor Address: 134 Granger Road City ChWel Hill State: NC Zip: 27516 Department:
DEAPR Amount: $2,355.20 Purpose: Carry out lead paint abatement on the exterior of the historic Hollow Rock
Store to prepare store for moving_back to the Hollow Rock Nature Park. Budget Code(s): 61370035 880000 20027
Vendor#58637 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date August 31, 2016 Approved by Board Yes❑ No®
Agenda Date:N/A
This agreement is approved as to technical form and content:
DocuSignedd by:
Department Director's Signature FVAWI Sfa"� Date: 9/8/2016
611CFA1D507A495...
Information Technologies
(Applicable only to hardware/software purchases or related ser vices)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- Fausa, r wt t Date: 9/8/2016
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 0 . Date:9/8/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:,',�,�,,
Office of the County Attorney 56,ocu �b�wl' Date: 9�8�2016
EAAMKEDM8465._
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@,orangecounj_mc.gov
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Revised 6/16 6