HomeMy WebLinkAboutR 2017-363-E DEAPR - Foster Lake & Pond Management for Blackwood pond fish stocking DocuSign Envelope ID: BA2EF2A2-A990-444E-B191-242F333586EE
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Foster Lake & Pond Management Party/Vendor Contact Person: David Hargrave Contact
Phone: (919) 427-0010 Party/Vendor Address: PO Box 1294 City Gamer State: NC Zip: 27529 Department:
DEAPR Amount: $2,065.00 Purpose: Blackwood Pond Fish Stocking Budget Code(s): 10515020 630000 20037
Vendor# 64409 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date Sept. 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 t, Sf t 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:
Office of the Risk Management Officer QUSA, C,Olrin..e*& 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 r 0 Date:
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• Legal Services
This agreement is approved as to legal form dnd sufficiency:
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Office of the County Attorney .36 I �
11, leblt 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