HomeMy WebLinkAboutR 2017-645-E AMS - Wayne Oldham & Son House Movers - Sportsplex block house move DocuSign Envelope ID:C2500EBD-6FF9-4A09-9D2D-AA4443F63583
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Wayne Oldham & Son House Movers Party/Vendor Contact Person: Daiyle Oldham
Contact Phone: 919.548.6641 Party/Vendor Address: 12901 Slier City-Glendon Road City Bear Creek State:NC
Zip: 27207 Department: AMS Amount: NTE$ 22,000.00 Purpose: Sportsplex block house move Budget Code(s):
5353 0030 880000 Vendor # 64722 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/30/17 Approved by Board
Yes' No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by: 11/15/2017
Department Director's SignatureE °P Date:
9F680,16CF64698...
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
r--DO<uSignetl by:
Office of the Asset Management Director ;14 p Date:
"°"' 11/15/2017
•-9F.880A460Fb4496...
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications, and requirements:
�DOCUSigned by:
Office of the Risk Management Officer aUsa C'616 Date:11/29/2017
�IFDCF91I6800G98...
Financial Services
—D6 This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
06' Act:
l---DocuSigned by:
Office of the Chief Financial Officer ("1 °"^ ^` Date:11/29/2017
‘-7D4F5181.0.09.,,
Legal Services
This agreement is approved as to legal form and sufficiency:
l---DocuSigned by:
Office of the County Attorney )oluti �e� Date:11/29/2017
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