R 2014-544 DEAPR - Wilkerson Grading for culvert footings $2,475

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DocuSign Envelope ID: D859D006- 4CA6- 4CC2- B349- 813F831C10C3 ORANGE COUNTY — DEPARTMENT USE ONLY Deuartment Party /Vendor Name: Wilkerson Grading Party/Vendor Contact Person: Paul Wilkerson Contact Phone: 919 732 -2579 Party /Vendor Address: 4600 Brock Drive City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $2,475 Purpose: Culvert footings Budget Code(s): 61370035 880000 20039 Vendor 4 61663 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/30/2014 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature Sfawu� Date: 611CFA1D507A495... Information Technologies (Applicable only to hardware /software 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 Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: rADocuSigned by:�' 11LL Office of the Risk Management Office US. (,bn e & Date: 7FDCF9176800498... Financial Services This instrument has been pre - audited in the manner roc uired by the Local Government Budget and Fiscal Control Act: DocuSigned Office of the Chief Financial Officer F - _)_ tiVR� Date: 2F982EC44C2C444... Legal Services This agreement is approved as to legal form and sufficiency: Signed by: Office of the County Attorney 5bZ, outs Date: EAAMKEMA8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Revised 10/14 4 Date: