HomeMy WebLinkAboutR 2019-208 AMS - Hoofbeat Farm inclement weather DocuSign Envelope ID:31076302-5D08-411F-A321-680354A900D1
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Hoof Beat Farm, LLC Party/Vendor Contact Person: Jason Hawkins Contact Phone: 919-201-
5347 Party/Vendor Address: 2401 NC Highway 57 City Hillsboroueli State: NC Zip: 27278 Department: AMS
Amount: $4167.25 Purpose: Inclement Weather Event Budget Code(s): 10240320-630000 Vendor#64242 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date 2/4/2019 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:
DocuSigned by:
�W PbV*aan. 3/25/2019
Department Director's Signature 21EF373ACD454EF.. Date;
Agreements for emergency services or repair are not subject 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: Inclement weather events require emergency response.
Information Technologies
(}applicable only to hardwarelsoftivare purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Informatiou Officer Date:
Risk Management
This agreement is approved for sufficiency of17FDCF0176800408
DocuSigned by, specifications,and requirements:
usa. cbm.t,{�6 3/28/2019
Office of the Risk Management Officer . Date:
Financial Services
This instrument has been pre-audited in the Docusigned.by:.. -veal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 4 Date:4/1/2019
1 7D4E51S1ACC1409.
Le alg_ Services
This agreement is approved as to legal torn DocuSigned by:
Office of the County Attorney �6LW K6 uu s Date:4/4/2019
EAA3D33ED&Ae435..
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