Orange County NC Website
Browse       Search
CA -q�- <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Carolina Recreation& Design Party/Vendor Contact Person: Don Hemingway Contact Phone: <br /> 888-983-8622 Party/Vendor Address: 344 Rolling Hills Rd City Mooresville State: NC Zip: 28117 Department: <br /> DEAPR Amount: $750.00 Purpose: Repair playground equipment Budget Code(s): 10515020 630000 Vendor # <br /> 62635 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 8-7-14 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and connttenntt: <br /> Department Director's Signature 1_ Date: <br /> Information Technoloiiies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: (� M <br /> lLta:���} _n.. l� U <br /> Office of Risk Management �Y � Date: <br /> s120 AUG 2 0 2014 <br /> Financial Services �h� <br /> ey <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer U4,4,W da A Date: <br /> Leval Services <br /> This agreement is approved as to legal fo and sufficiency: l <br /> Office of the County Attorney _ Date: e--,2 <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: 2 /C( <br /> Revised 7/14 4 <br />