Orange County NC Website
DocuSign Envelope ID:296C1EF2-ADDC-421A-8009-A03097D2751D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: McQueen Construction Inc. Party/Vendor Contact Person: Harvey McQueen Contact Phone: <br /> 919-697-0614 Party/Vendor Address: 619 Patrick Rd. City Bahama State: NC Zip: 27503 Department: DEAPR <br /> Amount: $5,700 Purpose: Grading and Paving Budget Code(s): 61370035 880000 20037 Vendor# 59479 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ <br /> Amendment ❑ Effective Date April 4,2016 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technigWJ &pd content: <br /> Department Director's Signature gay 44 Sfa�u� Date: <br /> Ej611CFAlD507A495 3 24 2016 <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 insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''��.�.. <br /> Office of the Risk Management Officer &. (,OYwt,�16 Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer _Date: <br /> 7NE5181ACC1409... 3/24/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> uSigned by: t, <br /> Office of the County Attorney 56Z, r6 ,i' Date: <br /> EAAMKEDM8465... 3/24/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollotid cl7oran=„ecount nc.goy <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 1/16 5 <br />