HomeMy WebLinkAboutR 2017-258-E DEAPR - Tommy Lawrence Electrical Contractors, Inc. to install outlets and lights DocuSign Envelope ID:09B4C2F7-7844-4677-A317-23CDB4F22A9A
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
PartyNendor Name: Tommy Lawrence Electrical Contractors, Inc. PartyNendor Contact Person: Warren Taylor
Contact Phone: 336-599-4771 PartyNendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573
Department: DEAPR Amount: $675 Purpose: Install outlets and lights Budget Code(s): 61370035 880000 20037
Vendor II 30928 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[S] Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date July 1, 2017 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 �1 al ,Ut 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:
p DocuSigned""by:
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Office of the Risk Management Officer ((USX COrtn._��.�'6 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:
l---DocuSigned by
Office of the Chief Financial Officer ('b sA A Date:
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Legal Services
This agreement is approved as to legal form and sufficiency:
p DocuSigned by
Office of the County Attorney jOLIA, VOA 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 5