Orange County NC Website
DocuSign Envelope ID:46321305-FO88-48E2-AA76-9A9CD2256599 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Central Carolina Tire Party/Vendor Contact Person: Lennie Terry Contact Phone: 919-498- <br /> 7432 Party/Vendor Address: 1616 Mckoy Town Rd City Cameron State: NC Zip: 919-499-2301 Department: <br /> Solid Waste Amount: NA Purpose: Tire Recycling Budget Code(s): 50352020 630003 Vendor#43417 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ® Effective Date 2/28/2015 Approved by Board Yes® No❑ Agenda Date: 3/3/2015 <br /> This agreement is approved as to to lA"v Knd content: <br /> �A � Wt�Sblit 4/7/2015 <br /> Department Director's Signature Date: <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 sufficienc da�aW standards, specifications, and requirements: <br /> aura, (hm,&b 4/7/2015 <br /> Office of the Risk Management Office Fae,s-r,1aeaa$ Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> .UA Vu <br /> Office of the Chief Financial Officer EMA.' 'A e�Fe�c-r�,ae� Date: 4/8/2015 <br /> Legal Services <br /> This agreement is approved as t e�,TV&H a tl$�fficiency: <br /> 4/8/2015 <br /> Office of the County Attorney EoAan�❑AARa55 Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov <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 />