HomeMy WebLinkAboutR 2019-266 Solid Waste - Dickerson Fencing gate install DocuSign Envelope ID:21361331 DE-l3C97-4l3FF-A701-2800E35816l3C
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Dickerson Fencing Inc. Party/Vendor Contact Person: Will Dickerson, III Contact Phone:
(919) 596-6765 Party/Vendor Address: 202 North Hoover Rd City Durham State: NC Zip: 27703 Department:
Solid Waste Amount: $31,600 Purpose: Provide and Install Three Gates Budget Code(s): 50352020-630000
Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New® Renewal❑ Amendment ❑ Effective Date May 8,2019 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:
Department Director's Signatureb� �lta5 Date: 5/6/2019
Agreements for emergency services or 88EeEF843690496 . o 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:
Office of the Risk Management Officer
aUS66 LQ 6 Date: 5/7/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer ('q 0 Date: 5/8/2019
7NE5181ACC1409.
Legal Services
This agreement is approved as to legal fern,and sufficiency-
DocuSigned by:
�
Office of the County Attorney �k ftA�'it, -1 l_�S� Date:5/8/2019
079A4D525C0F4FB.
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
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