HomeMy WebLinkAboutR 2019-254 Solid Waste - Evans Electric maintenance shop repair DocuSign Envelope ID:887CE981-F99A-4F1A-AA02-27481470A8DD
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: $7,896.00 Purpose: Electrical Work and Replacement of Light Fixtures in Maintenance Shop
Budget Code(s): 50350020-570000 Vendor# 43243 (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 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:
DocuSigneld yby:
Department Director's Signature �lta+ 5 Date:4/29/2019
Agreements for emergency services of .8BEe6F843690496 . 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:
WcuSigned by:
Office of the Risk Management Officer Qusa. L.D�6 Date:4/29/2019
7FDCF9176900408.
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 s6 � Date: 5/1/2019
704E5981ACC1409.
LeEal Services
This agreement is approved as to leizal form and sufficiencv:
OocuSigned by:
Office of the County Attorney ��x- �t, fi6S(b Date:5/1/2019
079A4D525C9F4FB.
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
8