R 2015-168-E DEAPR - Mulberry Building Co. LLC for Blackwood Farm picnic shelter

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DocuSign Envelope ID: EE2AOFEC-39A2-4424-A26B-C5C717E18747 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Mulberry Building Co. LLC Party/Vendor Contact Person: Peter Ye ag nian Contact Phone: (919) 812-4243 Party/Vendor Address: 9501 Highway 86 North City Cedar Grove State: NC Zip: 27231 Department: DEAPR Amount: $12,000 Purpose: Blackwood Farm picnic shelter Budget Code(s): 61370035 880000 20037 Vendor# 62943 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date April 1,2015 Approved by Board Yes ❑No® Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature r—PAVIL sto"U'L Date: 3/27/2015 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 Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: DocuSigned""by:''� Office of the Risk Management Officer Aura, (bvvU& Date: 3/30/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by:: Office of the Chief Financial Officer r—PMAL tA.IA, ,(''616, Date: 4/5/2015 232DFFC2CFA84713 Legal Services This agreement is approved as to legal form and sufficiency: ocuSigned by: Office of the County Attorney 56, LVU 1°b ufs Date: 4/6/2015 EAAMKEMA8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 10/14 5