Orange County NC Website
Browse       Search
DocuSign Envelope ID: B4AED305-BC6D-4956-93F9-OE7970FDE75C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Parry/Vendor Name: McQueen Contstruction Party/Vendor Contact Person: Harvey McQueen Contact Phone: <br /> 919-617-0694 Parry/Vendor Address: 619 Patrick Ct City Bahama State: nc Zip: 257503 Department: DEAPR <br /> Amount: $34,600.00 Purpose: paving at blackwood farm Budget Code(s): 61370035 880000 20037 Vendor # <br /> 59479 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 4/1/2015 Approved by Board Yes[]No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSig ned by: <br /> Department Director's Signature P611CFAlD507A495...GWtd1 SfaJAA Date: 3/24/2015 <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> --DocuSigned""t e by:''111L <br /> & <br /> Office of the Risk Management Office aus . rbvv Date: 3/26/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: - <br /> Office of the Chief Financial Officer P.,� t"*byu Date: 3/27/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �66� otx f S Date: 3/27/2015 <br /> EAAMKEMA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ 13o11oyd(&,oran ec countyL1c.g_ov <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 5 <br />