HomeMy WebLinkAboutR 2019-654 DEAPR - Tommy Lawrence Electrical electrical work River Park DocuSign Envelope ID:02AD3AOB-303A-4240-9F5E-504B725E5AD8
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Tommy Lawrence Electrical Contractor's Inc. Party/Vendor Contact Person: Warren Taylor
Contact Phone: 336-599-4771 Party/Vendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573
Department: DEAPR Amount: $722.5 Purpose: Emergency Electrical Work for Hog Day Budget Code(s):
6137003588 000020039 Vendor # 30928 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/201200 Approved by Board
Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
Qocusigned by:
�aVtG Department Director's Signa#a 5fOA Date: 9/20/2019
Agreements for emergency service....$:tea,°Ql. 11WL Debject 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: This emergency work was needed to accommodate a Hog Day event stove plug that would not fit in the
current electrical parcel at the park.The work needed to be completed prior to the event scheduled for 9/21/2019.
Information Technologies
(Applicable only to hardwarelsgfiware 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 sufficienev of insurance standards,specifications,and requirements:
Docusigned by:
Office of the Risk Management Office Qusa. t_,DV1n&6 Date: 9/23/2019 os
7FDCF9176800498. �J
Financial Services r
This instrument has been pre-audited-^--I,-cusigned gyro .rod`-y the Local Government Budget and Fiscal Control Act;
Office of the Chief Financial Offic ` q `�"�" °� Date: 9/24/2019
7NE5181ACC1400
Legal Services
This agreement is approved *� '�^�' -� ^'--fficienc :
g Pp as Docusigned Gy: Y
Office of the County Attorne �66A, K6kk 5 Date: 9/24/2019
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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