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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: North State Resurfacing, Co. Party/Vendor Contact Person: Mike Alford Contact Phone: 919 <br /> 365-7500 Party/Vendor Address: P.O. Box 387 City Wendell State: NC Zip: 27591 Department: DEAPR Amount: <br /> $12,470 Purpose: Court Resurfacing Budget Code(s): 61370035 880000 20039 Vendor#N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date 8/25/2014 Approved by Board Yes❑No® Agenda Date: n/a <br /> This agreement is approved as to technical form and conte <br /> Department Director's Signature Date: e) 22-))4- <br /> Information Technologies <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 /> I <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance st4pdards s cifications,and requiremen <br /> Office of Risk Management �� 1-� Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required the Local Government Budgetpa d Fiscal Control Act: <br /> Office of the Chief Financial Officer�wl-L� A. - Date: c <br /> Legal Services <br /> This agreement is approved as to legal for an i ncy: <br /> Office of the County Attorney _ _ _ _ Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 7/14 4 <br />