Orange County NC Website
Browse       Search
IN WITNESS WHEREOF, this Agreement has been executed, in duplicate, the day and year heretofore set <br /> out, on the part of the North Carolina Department of Transportation and the County by authority duly given. <br /> ATTEST: ORANGE N <br /> BY: 4ft� BY: I TITLE: TITLE: .:=:1( C�O/l.(/Vh <br /> DATE: DATE: I I I <br /> NCGS 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State Employee of any gift <br /> from anyone with a contract with the State, or from any person seeking to do business with the State. By <br /> execution of any response in this procurement, you attest, for your entire organization and its employees or <br /> agents, that you are not aware that any such gift has been offered, accepted, or promised by any employees <br /> of your organization. <br /> This instrument has been pre-audited in the manner <br /> required by the Local Government Budget and Fiscal <br /> Contro/Act. <br /> ® � L4 1 /f <br /> 17 52 (FINANCE OFFICER) <br /> Federal Tax Identification Number <br /> Orth Cato 5LP— lJOCURr:7 <br /> Remittance Address: <br /> range Coun�ti$ <br /> DEPARTMENT OF TRANSPORTATION <br /> BY: I ,( <br /> (CHIEF ENGINEER) <br /> DATE: -3 1,3 <br /> APPROVED BY BOARD OF TRANSPORTATION ITEM O: �,� I 1 (Date) <br /> Agreement ID#4509 3 <br />