HomeMy WebLinkAboutR 2016-744 AMS - Penn Davis Animal Services painting DocuSign Envelope ID:5BB79893-2A98-4C27-B3FC-097C7EB5D41 E
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Penn-David Coatings, Inc Party/Vendor Contact Person: Jeff Cook Contact Phone: 919-779-
0271 Party/Vendor Address: PO Box 575 City Garner State:NC Zip:27529 Department: AMS Amount:$4,840.00
Purpose: ANIMAL SERV PAINT Budget Code(s): 10240320-570001 Vendor 4 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 tec. Docusigned by: nt:.
Department Director's Signature- �5 cA4sci caass�. --- Date: 2-016
Information Technolo?ics
(Applicable only to hardware/sofAvare 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 ingnrance.standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer USX Cb�6 Date:9/16/2016
7FDCF917 6800458...
Financial Services
This instrument has been pre-audited in - DocuSigned by: he Local Government Budget and Fiscal Control Act:
t ' °' °" 9/16/2016
Office of the Chief Financial Officer Date:
704E5181ACCi409...
Legal Services
This agreement is approved as to DocuSigned by: limey:
�6�1n. Wb IfS 9/16/2016
Office of the County Attorney_ EAA3D33ED8AW5... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts roust be copied to Donna Lloyd upon completion @ Dolloyd[7a orangecountync.goy,
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 6116 5