R 2015-213-E DEAPR - Asphalt Experts, Inc. for paving

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DocuSign Envelope ID: DDEE9F74-82D3-4FB8-B7A2-C28AC485259B ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Asphalt Experts, Inc. Party/Vendor Contact Person: Ed Peed Contact Plioue: 919 384-9889 Party/Vendor Address: 5112 Neal Rd. Suite 100 City Durham State: NC Zip: 27705 Department: DEAPR Amount: $28,500 Purpose: Paving Budget Code(s): 61370035 880000 20039 Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date May 5,2015 Approved by Board Yes[:]No® Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature �L fA.A UL Date: 611CFA1D507A495... Information Technolo2iec (Applicable only to hardn,are/softtit,are prrrcliases ot-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 Mana eg Went This agreement is approved for sufficiency of insurance standards,specifications,and requirements: DocuSigned by: Office of the Risk Management Offices 5&#, r,6V17t, 6 Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSi+gn__ed by: Office of the Chief Financial Officer l l(fblti Date: 232DFFC2CFA847B... Legal Services This agreement is approved as to legal form and sufficiency: Signed by: Office of the County Attorney 56Z, otxfs Date: EAAMKEMA8465... Cleric to the Board Received for record retention: All Docusigrt contracts must be copied to Donna Lloyd upon completion a Doi loyd a,orangeeotnttyiic.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Cleric to the Board Date: Revised 10/14 5