HomeMy WebLinkAboutR 2017-118-E DEAPR - Carolina Green Corp. for W10 spring renovation DocuSign Envelope ID: F8C68ECA-D485-4C2A-B772-05B284F5AADA
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carolina Green Corp. Party/Vendor Contact Person: Kerry Price Contact Phone:
704.753.1707 Party/Vendor Address: 10108 Indian Trail-Fairview Rd. City Indian Trail State: NC Zip: 28079
Department: DEAPR Amount: $15,834 Purpose: W10 spring renovation Budget Code(s): 10510020 630000
20026 Vendor # 55230 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type:
(Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No
Agenda Date:
This agreement is approved as to technical form and content:
p DocuSigned by:
Department Director's Signature P gala galait Date:
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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:
r DocuSigned"by:
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Office of the Risk Management Officer a(A O tort td,*& Date:
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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:
,--DocuSigned by:
Office of the Chief Financial Officer (24,4 0...d."„.., C77 Date:
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Legal Services
This agreement is approved as to legal form and sufficiency:
r DocuSigned by:
Office of the County Attorney jo(un, Vbtit,Vl S Date:
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 2/17
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