HomeMy WebLinkAboutR 2017-059-E DEAPR - Tommy Lawrence Electrical for Fairview electrical gate operators DocuSign Envelope ID: C0D2E252-5690-4859-8AEA-DAE216A7A561
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:
$5,885. Purpose: Fairview Gate Operators - Electrical Budget Code(s): 61370035 880000 20041 Vendor # 30928
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date February 6,2017 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature PAWL, galit It Date:
�--611 CFA1 D507A495... 'il
'.I
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:
Office of the Risk Management Officer ausx COVIALlif Date:
�---7FDCF9178800498...
•
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 r1-161 777 Date:
"---7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:,,,�,
Office of the County Attorney �O Vb1t Date:
�^---EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(aiorangecountync.gov
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 6/16 5