Orange County NC Website
DocuSign Envelope ID:8DBFC7C8-DFF2-4179-9582-FA3E75937570 <br /> DS <br /> f-ot <br /> ORANGE COUNTY-DEPARTMENT USE ONLY ED <br /> S <br /> Department <br /> Party/Vendor Name: Medallion Athletic Products, Inc. Party/Vendor Contact Person: Letitia Cotten Contact Phone: <br /> 704.660,3000 Party/Vendor Address-, 150 River Park Road City Mooresville Staw N'Q Zip: 28117 Department: Asset <br /> Managgraq!jt_5.ery ices Amount: Not to exceed,$95,535 Purpose: 5p.pM�Plex_-rubber-floorin,,, Ig qi��nt Budget Code(s): <br /> -6-W _qg-1 — <br /> 53530030-803000 Vendor # 62..809 (N/A if new vendor) Vendor is a BOCC consultant? Yes El NoE Contract Type: <br /> (Check one) New E Renewal E] Amendment R Effective Date Decemjja[8 2-014 Approved by Board Yeso No❑ <br /> Agenda Date: <br /> This agreement is approved as to t e <br /> 2/10/2015 <br /> Department Director's Signaturecl:�' .......... Date: <br /> Information Technolozies <br /> (Applicable onl)r to heirdwarelsoftwat-epiti-chic vc,,s,or related senices)This agreement has been reviewed and is approved as to <br /> information technology content,and specifications,: <br /> Office of the Chief Information Officer Date: <br /> Risk Manazernent <br /> This agreement is approved for sufficien specifications, and requirements: <br /> Office of the Risk Management Officer Late. 2/10/2015 <br /> r ............ <br /> Financial Services <br /> This instrument has been pre-audited by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office Late: 2/11/2015 <br /> it <br /> .......... <br /> Officer ! <br /> Legal Services <br /> This agreement is approved as to I <br /> Office of the County Attorney Date: 2/11/2015 <br /> �r!AUD33EDEA9465-­­' <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dsilo d&qrangecoun(vnc.P-ov <br /> �L - <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 10 <br />