HomeMy WebLinkAboutR 2016-608-E AMS - T.A. Loving Company for Sportsplex Field House pre-construction services DocuSign Envelope ID:826509CF-ED5F-4F89-AE19-18F10AF97036
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: T.A. Loving Company Party/Vendor Contact Person: David Philyaw Contact Phone: 919-
734-8400 Party/Vendor Address: P.O. Box 919 City Goldsboro State: NC Zip: 27533 Department: AMS
Amount: $45,000 Purpose: Sportsplex Field House Pre-Construction Services Budget Code(s): 5353-0030-880000
Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 10/31/2016 Approved by Board Yes❑No® Agenda
Date:
This agreement is approved as to technical form and content:
H signed by:
Department Director's Signature Date: 10/30/2016
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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:
FllUsa (,awu b D s'g d by:
Office of the Risk Management Officer_ Date: 10/31/2016
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
D.-Signed by:
Office of the Chief Financial Officer Date: 10/31/2016
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Legal Services
This agreement is approved as to legal form and sufficiency:
D s'g d by:
Office of the County Attorney ° pbt,vfs Date: 10/31/2016
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Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecoupiync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
E
Office of the Clerk to the Board Date: j
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Revised 6/16 9