R 2015-660-E DEAPR - Natural Stone Installation to construct stone sign base

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DocuSign Envelope ID: FF6CCA42-9778-4C65-87A0-68F6BE066202 ORANGE COUNTY—DEPARTMENT USE ONLY Department Pasty/Vendor Name: Natural Stone Installation Party/Vendor Contact Person: Brooks Burleson Contact Phone: (919) 291-9768 Party/Vendor Address: 1425 Grecian Woods Lane City Raleigh State: NC Zip: 27606 Department: DEAPR Amount: $8,500 Purpose: Construct stone sign base Budget Code(s): 61370035 880000 20027 Vendor 11 52964 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New El Renewal ❑ Amendment ❑ Effective Date 12/8/2015 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature Pe Wt. gal/La Date: 611CFA1 D507A495... 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: Office of the Risk Management Officer ((USX COWt,t-* Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer Date: 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney ,,OU A, rOlt Date: EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd ri orangecountync,gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 10/14 4