HomeMy WebLinkAboutR 2018-351 DEAPR - NW Poole Well Pump CoDocuSign Envelope ID: 7295DAE7 -1 D24- 460B- 843D- 4875267133AA
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: N.W. Poole Well & Pump Co. Party /Vendor Contact Person: Kevin Letchworth Contact Phone:
919 - 265 -9223 Party /Vendor Address: PO Box 1958 City Wendell State: NC Zip: 27591 Department: DEAPR
Amount: $2,483.25 Purpose: Repair Irrigation Budget Code(s): 10515020 630000 20025 Vendor # 60487 (N /A if
new vendor) Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by: r
Department Director's Signature awl gatt.a Date: 7/24/2018
611CFA1D507A405...
Information Technologies
(applicable only to har•cli- var•elsoftrvare 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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned by:
Office of the Risk Management Officer QUSX Cb�6
7FDCF917E8o0498...
Financial Services
Date: 7/30/2018
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 17D4E5181ACC1409 .,,, a.af se.. Date: 8/4/2018
.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney , 6L4 L Kk
EAAM33ED8AE465...
Cleric to the Board
Date: 8/7/2018
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoftoran eg counlync.goy
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
Revised 10!17 (Mgr appry 5k 61I8) 4