HomeMy WebLinkAboutR 2016-743 AMS - Penn Davis Coatings EMS painting DocuSign Envelope ID:24485349-1FD8-49B0-AAD2-75C7D446130C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
PartyNendor Name: Penn-David Coatings, Inc Party/Vendor Contact Person: Jeff Cook Contact Phone: 919-779-
0271 PartyNendor Address:PO Box 575 City Garner State:NC Zip: 27529 Department: AMS Amount:S3,520.0 Q
Purpose: EMS REVERSE PAINTING Budget Code(s): 10240320-570001 Vendor # 61197 (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 terl-- r I ',••^, ^A^^^"°nt:
lap Iocusigned by:
Department Director's Signature `�� 7A'O'V °" Date:9/16/2016
9E88CA48CF64498
Information Technologies
(applicable only to hardwarelsoftware 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 sufficienev of insurance standards,specifications,and requirements:
Docu5igned by:
Office of the Risk Management Office 161, Cb�6 . s_ Date9/16/2016
7FDCF9176800498.-.
Financial Services
This instrument has been pre-audited i oocusigned by: he Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:9/16/2016
- 7NE5181ACC1409.-. — ----—
Legal Services
This agreement is approved as t( ' DocuSigned by:' "iciency:
Office of the County Attorney I kA bLW K Date:9/16/2016
EAAM33ED8AW5-.-
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DollaxdP—orangecountyne.gov j
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 6/16 5