HomeMy WebLinkAboutR 2018-014 DEAPR - Tommy Lawrence Electrical Contractors Replace broken polesDocuSign Envelope ID: OB94A554- F378- 4C4A- AE6E- 3EFlOADOCF43
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tommy Lawrence Electrical Contractors, Inc. Party/Vendor Contact Person: Warren Taylor
Contact Phone: 336 -599 -4771 Party/Vendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573
Department: DEAPR Amount: $19,877.00. Purpose: Replace broken poles at soccer.com Budget Code(s):
61370035 880000 20039 Vendor # 30928 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New Z Renewal ❑ Amendment ❑ Effective Date January 12, 2018 Approved by
Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSignedd by:
Department Director's Signatur AVt, S1A,IAA Date:
611CFA1D507A495...
Asset Management
(Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction
services content and specifications:
DocuSigned by:
Office of the Asset Management Director 7A.—p"— _ Date:
9E880A46CF64498...
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned ""by:''�
Office of the Risk Management Officer FaUS& vvullb _ Date:
7FDCF9176800498...
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 Office 01.E CZ/ Date:
CfNE5181ACC1409...
Lezal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney blA,ln, Date:
EWD33ED8A8465__.
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countyllc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/17 6