Orange County NC Website
DocuSign Envelope ID: 1DFCB082-2DBE-4FF6-A29E-A75A452063D6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Durham Electric Company, Inc Party/Vendor Contact Person: Vic Pepper <br /> (vic.pepper a,durhamelectriccompany.com) Contact Phone: 919.682.5771 Party/Vendor Address: 807 North <br /> Mangum Street City Durham State: NC Zip: 27701 Department: AMS Amount: $24,119.00 Purpose: Install <br /> Power for Cafe 113 Budget Code(s): 10400130-80300 Vendor#63996 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> � 5 by„,,�„ <br /> Department Director's Signature R16 Date: 10/18/2016 <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 /> U 59 dby <br /> Q(asa(awuflo 10/19/2016 <br /> Office of the Risk Management Office i�r o i9i ds ,.9a Date: <br /> Financial er ices <br /> S v <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> 0o s d by: <br /> 10/24/2016 <br /> Office of the Chief Financial Officer �"� 0 Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Uocu5i9ned by: <br /> Office of the County Attorney �6 " rein s Date: 10/24/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oranQecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 5 <br />