HomeMy WebLinkAboutR 2017-434-E AMS - Wayne Oldham & Son House Moving to move house on US 70 by Sportsplex DocuSign Envelope ID:928D532F-8E85-438B-A45F-55FACC1 BCOOA
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Wayne Oldham&Son House Moving Party/Vendor Contact Person: Daryle Oldham Contact
Phone: 919-548-6641;darylepaschal @gmail.com Party/Vendor Address: 12901 Siler City-Glendon Road City Siler
City State: NC Zip: 27207 Department: AMS Amount: NTE $22,000 Purpose: Sportsplex House Move 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 8/14/17 Approved by Board
Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSignetl by:
C w 8/15/2017
Department Director's Signature Date:
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Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
D Sig tlby:
P p°°w 8/15/2017
Office of the Asset Management Directors ,,,„,g,,o Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
SocuSigned by:
USA CorlAd6 8/29/2017
Office of the Risk Management Officer., , p,. Date:
Financial Services
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This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
D Sig tlby:
8/31/2017
Office of the Chief Financial Officer " i — Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuS'g tlby:
�olAv �ebw{s 9/1/2017
Office of the County Attorney Date:
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:
Revised 2/17 6