R 2017-059-E DEAPR - Tommy Lawrence Electrical for Fairview electrical gate operators

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DocuSign Envelope ID: C0D2E252-5690-4859-8AEA-DAE216A7A561 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: $5,885. Purpose: Fairview Gate Operators - Electrical Budget Code(s): 61370035 880000 20041 Vendor # 30928 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date February 6,2017 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature PAWL, galit It Date: �--611 CFA1 D507A495... 'il '.I Information Technologies (Applicable only to hardware/software 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 ausx COVIALlif Date: �---7FDCF9178800498... • 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 r1-161 777 Date: "---7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by:,,,�, Office of the County Attorney �O Vb1t Date: �^---EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(aiorangecountync.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 6/16 5