Orange County NC Website
DocuSign Envelope ID:4C03613B-140E-4134-9997-6328D5DA2C71 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Earthscapes, Inc. Party/Vendor Contact Person: David Fletcher Contact Phone: 919- <br /> 730-5373 Party/Vendor Address: 1841 North NC Hwy 119 City Mebane State: NC Zip: 27302 Department: AMS <br /> Amount: $1850 Purpose: install parking bumpers at 300 W Tryon St Budget Code(s): 10240320-570000 Vendor # <br /> 63117 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Ey;Signed by: <br /> Department Director's Signature Date: <br /> 9/19/2015 <br /> 9E880A46CF64498... <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 sufficiency of insur &rsiggords, specifications, and requirements: <br /> ,OVIa, 6 <br /> Office of the Risk Management Oflicer FAUSA, C Date: 9/21/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the in 7pau PQe c yby the Local Government Budget and Fiscal Control Act: <br /> t"06v 9/21/2015 <br /> Office of the Chief Financial Officer �e Date: <br /> Legal Services <br /> This agreement is approved as to=D&3FD8A846s t'k-� : <br /> t r6�tYfS 9/22/2015 <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 Donna Lloyd upon completion @ Dolloyd@of-angecounlync.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 /> Revised 10/14 4 <br />