Orange County NC Website
DocuSign Envelope ID:08F45309-80C9-43F8-8726-355DC9530CD8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Greg Tilley's Pressure Cleaning Party/Vendor Contact Person: Greg Tilley Contact Phone: 919 <br /> 812-3536 PartylVendor Address: 3600 HWy 54 West City Chapel Hill State: NC Zip: 27516 Department: DEAPR <br /> Amount: $6,800 Purpose: Pressure Cleaning Park Shelters Budget Code(s): 61370035 880000 20039 Vendor#45926 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Clieck one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date 9/14/2015 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 r VaV fOJAUL Date: <br /> 611CFA1D507A495... <br /> Information Teclinolopies <br /> (Applicable only to hatdivm-elsofthvcrre 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 sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned"by: <br /> ' <br /> Office of the Risk Management Officer Aus. rbVl7t, 6 Date: <br /> 7FDCF9176800498... - <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by tite Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer AU� bvu Date: <br /> 232DFFC2CFA847B... <br /> Lei!al Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney 56 6u 1°b ufs Date: <br /> EAAMKEMA8465... <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts Hurst be copied to Donna Lloyd upon completion @ Dolloydnoraii e�yiic.=ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> I <br /> i <br /> Revised 10114 4 <br />