HomeMy WebLinkAboutR 2019-024 Solid Waste - Evans Electric lighting repair DocuSign Envelope ID: B65A93BB-6378-42A0-8340-F9CDBA5AA4BB
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: D.W.Evans Electric,Inc. Party/Vendor Contact Person: Josh Evans Contact Phone:
919)383-6020 Party/Vendor Address: 3511 Evans Corporate Ln City Durham State: NC Zip: 27705 Department:
Solid Waste Amount: 1,678.00 Purpose: Rewire Light Poles for LED and install LED bulbs at Walnut Budget
Code(s): 50353020-570000 Vendor# 43243 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date January 24, 2019 Approved by
Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DSign/e'd11by:
Department Director's Signature
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O�euf WlW WAS Date: 1/18/2019
Agreements for emergency services or r Wject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
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 Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned""by:
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Office of the Risk Management OfficerPUS& rbvvu llb _Date: 1/18/2019
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
1/18/2019
Office of the Chief Financial Officer +� Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney FgKAAJ, kaYtf, 1_�S(0 Date: 1/21/2019
079MD525COWB...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4