HomeMy WebLinkAboutR 2014-653 DEAPR - Wilkerson culverts and standpipe repairRevised 7/14
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ORANGE COUNTY—DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
______________________________________________________________________________
Department
Party/Vendor Name: Wilkerson Grading Party/Vendor Contact Person: Paul Wilkerson Contact Phone: 919 732-2579
Party/Vendor Address: 4600 Brock Drive City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount:
$7,664.37 Purpose: Culvert and Standpipe Repair Budget Code(s): 61370035 880000 20039 Vendor # 61663 (N/A if
new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal
Amendment Effective Date 8/20/2014 Approved by Board Yes No Agenda Date: n/a
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 Director of Information Technology___________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of Risk Management_____________________________________________ 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 Financial Officer ____________________________________ 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:
Office of the Clerk to the Board __________________________________________Date:_________
DocuSign Envelope ID: AAA0C5ED-79C0-411C-A374-A0EB1685C67E