HomeMy WebLinkAboutR 2016-560-E DEAPR - Clark Poe Construction, Inc. to move historic Hollow Rock Store DocuSign Envelope ID:453C1A54-9B45-4FE0-9E13-2B8723D592A7
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 Chapel Hill State: NC Zip: 27516 Department:
DEAPR Amount: $24,670 Purpose: Moving the historic Hollow Rock Store to the Hollow Rock Nature Park,
including new foundation and associated structural work. 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 September 30,2016 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 Fva),At sfatA Date:10/3/2016
611CFA1D507A495...
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 Faus. ,nAA 16 Date: 10/3/2016
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: 10/3/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
uSigned by:,',�,�,,
Office of the County Attorney 56Z, r6uw s Date: 10/4/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 6/16 6
DocuSign Envelope ID:453C1A54-9B45-4FE0-9E13-2B8723D592A7
Office of the Clerk to the Board Date:
Revised 6/16 7