R 2016-387-E DEAPR - Tommy Lawrence Electrical for replacement basketball lighting

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DocuSign Envelope ID:2F9101CA-E847-4361-830C-861FF6446820 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Tommy Lawrence Electrical Party/Vendor Contact Person: Warren Taylor Contact Phone: 336 599-4771 Party/Vendor Address: PO Box 641 City Roxboro State: NC Zip: 27573 Department: DEAPR Amount: $58,802. Purpose: Replacement Basketball Lighting Budget Code(s): 61370035 880000 20002 Vendor a 30928 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New Renewal ❑ Amendment ❑ Effective Date July 19, 2016 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content: DocuSignedd by: Department Director's Signature Fvavt sfA.1'a Date: 611CFA1D507A495... Information Technologies (Applicable only to hardware/softivare 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 auSa r,OV'�td 6 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 °n Date: 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: uSigned by: Office of the County Attorney 56Z, r6ut s Date: EAAMKEDM8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg count i�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 6116 8