HomeMy WebLinkAboutR 2019-247 DEAPR - Carolina Green West 10 spring renovation DocuSign Envelope ID:74F90525-OA41-4746-B7F1-101944939562
ORANGE COUNTY—DEPARTMENT USE ONLY
PartyNendor Name: Carolina Green Corp. Party/Vendor Contact Person: Kerry Price Contact Phone: 866-753-
1707 PartyNendor Address: 10108 Indian Trail-Fairview Road City Indian Trail State: NC Zip: 28079
Department: DEAPR Amount: $15,834 Purpose: W10 Spring Renovation Budget Code(s): 10515020 630000
20026 Vendor#55230 (N/A if new vendor) Vendor is a BOCC consultant? Yes ® No❑ Contract Type:
(Check one)New ® Renewal ❑ Amendment ❑ Effective Date April 17,2019 Approved by Board Yes❑
No❑ Agenda Date:N/A
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:Department Director's Signature Paw*j. �fi7Llll.a Date: 4/25/2019
Agreements for emergency services 611cFA1D507A405.. ct 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 Technolotries
(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 sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Office Qusa L pp.DWt.t,{f6 Date: 4/25/2019
7FDCF0176800498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer �j��, VC.'IMye.. Date: 4/26/2019
7o4E54a1Acc14os
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney , 6Lo, K6 ufs Date:4/26/2019
El+AMnEDgM405..
Clerk to the Board
Received for record retention:
All Docusign contracts muss 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