Orange County NC Website
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> 1� Party/Vendor Name: Orange Water and Sewer Authority Party/Vendor Contact Person: Contact Phone: <br /> s• 919-968-4421 Party/Vend r Address: 400 Jones Ferry Road City Carrboro State: NC Zip: 27510 Department: <br /> I-�4�Coun Manager Amou;r 553 000 Purpose: Construct and Install Public Sewer System Budget Code(s): <br /> / 1 370035 880000 10054 Vendor# 4482 (N/A if new vendor) Vendor is a BOCC consultant? Yes [] No[—] <br /> Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date 12/13/16 Approved by Board <br /> Yes®No❑ Agenda Date: 12/13/16 <br /> This agreement is approved as to technical fo d content: / <br /> Department Director's Signature Date: <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 /> Office of Risk Management Lid i �� � Date: 7 <br /> Financial Services <br /> This instrument has been pre-audited in the r uired y the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal f rm an fficiency: �7 <br /> Office of the County Attorney Date:�'- 3,� / <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />