Orange County NC Website
DocuSign Envelope ID:45C18779-2190-48A7-A87B-27365121 DB71 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Signs Now Party/Vendor Contact Person: John Stokes(csr @signsnow353.com) Contact Phone: <br /> 919.929.0702 Party/Vendor Address: 1322 Fordham Blvd #5 City Chapel Hill State: NC Zip: 27514 Department: <br /> AMS Amount: 672.82 Purpose: Install "Do Not Walk Under Gate" sign and post, provide and install vinyls on gate <br /> arms (vinyls have Warning Symbol with picture of person being hit by gate arm) Budget Code(s): 61370035-880000- <br /> 30001 Vendor#40883 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check <br /> one)New ® Renewal ❑ Amendment ❑ Effective Date 4/10/17 Approved by Board Yes❑ No Agenda <br /> Date: <br /> This agreement is approved as to technical form and 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 /> oos�gea ey: <br /> Qlisa(01W-to 3/31/2017 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> �—oos�qea ey: <br /> Office of the Chief Financial Officer,1" Date: 4/11/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ,)oluA,rohw{s 4/12/2017 <br /> Office of the County Attorney �oaq�a g Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 2/17 5 <br />