R 2015-604-E AMS - Carolina Earthscapes, Inc. to install pad and ramp for library book drop box

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DocuSign Envelope ID: B6987D02-4EBE-4456-8ABA-AC4410CD3B93 ORANGE COUNTY-DEPARTMENT USE ONLY GD Department Party/Vendor Name: Carolina Earthscapes Inc. Party/Vendor Contact Person: David Fletcher Contact Phone:919- 730-5373 Party/Vendor Address: 1841 North HWY 119 City Mebane State: NC Zip: 27302 Department: Asset Management Services Amount: $2,830 Purpose: Install pad and ramp for library book drop box Budget Code(s): 10240320-570001 Vendor 4 63117 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date 11/04/2015 Approved by Board Yes❑ No® Agenda Date:N/A This agreement is approved as to technical form and content: 5y;uSigned by: Department Director's Signature �OfN? Date: 11/14/2015 9E880A46CF64498... Information Technologies (Applicable only to hardware/software purchases or 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 Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: DocuSigned""by: ''111L Office of the Risk Management Officer EMS& 66vvt,e 6 Date: 11/17/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: ocuSigned by: Office of the Chief Financial Officer 4N � Date: 11/19/2015 L�D 4E5181ACC1409... Legal Services This agreement is approved as to legal form and rDj.4 1ymd by: Office of the County Attorney rokwfs Date: 11/20/2015 EAA3D33EDSA8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloai.oran ecoun nc. The following signature block is for hard copies only and is not required for Docusign contracts: Revised 10/14 5