Orange County NC Website
DocuSign Envelope ID: D853F7DC-B7BD-45C2-8896-04A940B50FE4 <br /> ORANGE COUNTY--DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Tommy Lawrence Electrical Contractors, hie. Party/Vendor Contact Person: Warren Tamer <br /> Contact Plione: 333 599-4771 Party/Vendor Address: P.O. Box 641 City Roxboro State: NC Zip:25773 Department: <br /> DEAPR Amount: $8,704 Purpose: Elecrical Improvements Budget Code(s): 61370035 880000 20037 Vendor 8 <br /> 30928 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ Nog Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date May 7,2015 Approved by Board Yes[_]No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature VaVt StOM,61L Date: <br /> 611CFA1D507A495... <br /> Information Technoloeies <br /> (Applicable only to hat-a�t,ar•e/softitar•e ptrr•chases 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 /> 5&#,DocuSigned"by:'11 Office of the Risk Management Officer rbVi7t 6 Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> --DocuSigned by:: <br /> Office of the Chief Financial Officer A kL L44''bVu Date: <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to rU,5,3EU 1Dfomirandysufficiency: <br /> bI A,�, 1°e�t,vfs <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Dorma Lloyd upon completion @ Dolloyd@orangecoun ync� _, 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 4 <br />