Orange County NC Website
DocuSign Envelope ID:2B4514AD-1E9B-4DC5-B1AD-F2D340AOBB77 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Muter Construction Party/Vendor Contact Person: John Muter <br /> (jmuter e,muterconstruction.com) Contact Phone: 919.404.8330 Party/Vendor Address: 100N Arendell Ave City <br /> Zebulon State: NC Zip: 27597 Department: AMS Amount: $5503.93 Purpose: Canopy Modifications Budget <br /> Code(s): 61370035-880000-10016 Vendor#62812 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by <br /> Board Yes❑NoZ Agenda Date: 8/31/16 <br /> This agreement is approved as to technical form and content: <br /> D 5 g d by: <br /> Department Director's Signature Date: 9/6/2016 <br /> Information Technologies <br /> (Applicable only to hardm,ar•e/sofni,ar•e ptrrchcrses 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 /> by: <br /> Office of the Risk Management Officer ED11"Si'"1' <br /> usa (,6 nV ffa Date: 9/6/2016 <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 /> D.-Sig-d by: <br /> Office of the Chief Financial Officer ° Date: 9/6/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D S g d by: <br /> �etiufs <br /> Office of the County Attorney ��'L,, Date: 9/7/2016 <br /> —FAiS3fT.s3FthSR8f65... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd ter�,oran eg coun, nc.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 <br />