HomeMy WebLinkAboutR 2017-735-E AMS - Willie Newton WCOB door DocuSign Envelope ID: 167D3F94-AAC8-4BA4-B5EE-48724F55D42E
ORANGE COUNTY—DEPARTMENT USE ONLY
De aJ�rtment
Party/Vendor Name: Willie R. Newton PartyNendor Contact Person: Willie R. Newton Contact Phone: 910-690-
0944 Party/Vendor Address: 403 Grady Rd City Cameron State: NC Zip: 28326 Department: AMS Amount:
2 483,00 Purpose: WCOB Door Replacement Budget Code(s): 10240320"-570001 Vendor # 64689 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technic,-'-I--pcuSi A by:
Department Director's Signature °"" °" Date: 8/15/2017
LI9ESSCA46CF64498...
Information Technolo0es
(Applicable only to hard',varelsoftware 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 c Docu5igned by: specifications,and requirements:
Office of the Risk Management Officer 7FaCF917e900498... Date: 8/15/2017
Financial Services
This instrument has been pre-audited in the_ oocu5igned'by: '' 'veal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 8/21/2017
704E51S1ACC1469...
LeEal Services
This agreement is approved as to legal f-`_,-c,Signed by`��'
Office of the County Attorney �b�rt. � Date: 8/2 5/2017
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Clerk to the Board
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Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ D61loyd(a)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:
Revised 2/17 5