HomeMy WebLinkAboutR 2018-239 Planning - Carolina Lead AbatementRevised 10/17 5
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Carolina Lead Abatement, Inc. Party/Vendor Contact Person: William Earp Contact Phone:
252-883-7735Party/Vendor Address: 7246 Taylors Store RoadCity NashvilleState: NCZip: 27856Department:
PlanningAmount: $750.00Purpose: Lead Paint Testing atthe Lake Orange Intake Tower StructureBudget Code(s):
10695020-720013Vendor # 62212(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract
Type: (Check one) New Renewal Amendment Effective Date June 14, 2018Approved by Board Yes
No Agenda Date:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
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:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:_________
DocuSign Envelope ID: 6CCCCAFC-C372-4560-ACEB-744BF96E8287