Orange County NC Website
DocuSign Envelope ID: 17FB3C83-7C50-4853-BFFF-C3701731 F099 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: W. L. Bishop Party/Vendor Contact Person: Jerry Smith Contact Phone: 919-732-2546 Party/Vendor <br /> Address:2211 Leah Dr. City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: 82,603 Purpose: Construct <br /> a parking area Budget Code(s): 61370035 880000 20027 Vendor # 059867 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/15/2015 <br /> 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 Signatur C- 33888DlAF3C3423 fldfa Wcdsktr Date: <br /> ... 9 1 15 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 by: <br /> ' <br /> Office of the Risk Management Office C- 7MCF9176800498...uSA. (hm,e,ttb Date: <br /> 5 <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 Office cAU� bin, Date: <br /> 232DFFC2C FA847 B... 9/10/2 015 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorne �b ate: 9 11/L V 1yy <br /> EAA3D33ED8A8465... 5 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolto d a,oranaecountync. 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 10 <br />