HomeMy WebLinkAboutR 2018-701 AMS - Tommy Lawrence 510 breaker DocuSign Envelope ID:899D217B-40AE-4E9D-9F28-73B23967930C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
PartylVendor Name: Tommy Lawrence Elec. Cont. Party/Vendor Contact Person: Warren Taylor Contact Phone:
336-599-4771 Party/Vendor Address:PO Box 641 City Roxboro State:NC Zip:27573 Department:AMS Amount:
660.84 Purpose: 510 Meadowland Breaker Budget Code(s): 10240320-570000 Vendor # 58196 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date 10/22/18 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical f Docusigned by:
1_# `""�i°" 10/18/2018
Department Director's Signature _ _Date.
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Information Technologies
(Applicable only to hardrvarelsoftware 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:
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Risk Management
This agreement is approved for sufficiency of insE,r nnrp ctanrlarrlc enpeifrcations,and requirements:
Docusigned by:
Office of the Risk Management Officer USA` �6 I)ate:10/19/2018
7FDCF9176900498.-.
Financial Services
This instrument has been pre-audited in the- ' oocusigned ay:'L "`L-',ocal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:10/19/2018
7D4E5181ACC14G9.-.
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Lezal Services
This agreement is approved as to legal f+ DocuSigned by:
�66L, KkA 10/19/2018
Office of the County Attorney fate:
EAAM33ED8AW5-.- - _
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll c_borangecountync.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:
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Revised 10117(Mgr appry 5k 6118)
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