HomeMy WebLinkAboutR 2017-681-E AMS - Seegar Fence Mayo Street repairORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Seegars Fence CompanyParty/Vendor Contact Person: Jason DanielsContact Phone: 919-489-
5303Party/Vendor Address: PO Box 61378City DurhamState: NCZip: 27715Department: AMSAmount: $935
Purpose: 113Mayo Street fence repair Budget Code(s): 10240320-570001Vendor # 41409(N/A if new vendor)
Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment
Effective Date 10/24/2017Approved 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 FinancialOfficer ____________________________________ 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 Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not requiredfor Docusign contracts:
Office of the Clerk to the Board __________________________________________Date:_________
Revised 2/17 5
DocuSign Envelope ID: FD9947AB-B386-446B-AFDD-4088AF7B1812