HomeMy WebLinkAboutR 2019-553 DEAPR - Royalwood Associates floor recoating DocuSign Envelope ID:67C09E91-68ED-441D-8F8B-091C77422DBD
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Royalwood Associates, Inc. Party/Vendor Contact Person: Jeff Evans Contact Phone: 919-957-
3006 Party/Vendor Address: PO Box 91145 City Raleieh State: NC Zip: 27675 Department: DEAPR Amount:
1 872.65 Purpose: Gymnasium Resurfacing Budget Code(s): 61370035 880000 20039 Vendor#62025 (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:
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Department Director's Signature Date: 8/12/2019
811CFAM507A405..
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:
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 sufficienc -Diocusigned by: 'ds, specifications,and requirements:
aUsa ( Q� 6 8/12/2019
Office of the Risk Management Officer 7FDCF9176800498. Date:
Financial Services
This instrument has been pre-audited i1 ' Docusigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Ir
411.w4/� Date:8/12/2019
7NE5181ACC1409.
Legal Services
This agreement is approved as tcDEAA,D,,ED.A.,-
DocuSigned br iciency:
66A, K6kk�S 8/13/2019
Office of the County Attorney Date:
.
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
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