Orange County NC Website
DocuSign Envelope ID:20877915-9004-438F-A177-54177939AE44 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Judy D. Brooks Contractor Party/Vendor Contact Person: Judy Brooks Contact Phone: 919- <br /> 837-5914 Party/Vendor Address: 1195 Beal Rd City Goldston State:NC Zip: 27252 Department: Solid Waste <br /> Amount: est.300,000 Purpose: Food Waste Collection Budget Code(s): 50352020-630003 Vendor#40693 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal <br /> Amendment ® Effective Date 7-1-16 Approved by Board Yes[]No❑ Agenda Date: 4-19-16 <br /> This agreement is approved as to technical forth and��ant em�y: <br /> Department Director's Signature �1 UJ1LS6vu Date: 5/27/2016 <br /> 6E763F604A144E2... <br /> Information Technolosies <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 /> ''11i1 <br /> Office of the Risk Management Officer Pausa, (,6rvu,�16 Date:5/27/2016 <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: DocuSigned by: <br /> Office of the Chief Financial Officer �� Date/31/2016 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �b r6u�s Date: 6/3/2016 <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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 />