Orange County NC Website
DocuSign Envelope ID:9E3E28ED-9044-4DDF-BF32-00517C3197F3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Yandle's Parking Lot Maintenance Party/Vendor Contact Person: Myron Yandle Contact Phone: <br /> (919)623-3648 Party/Vendor Address: 203 Church St. City Morrisville State: NC Zip: 27560 Department: DEAPR <br /> Amount: $1,050. Purpose: Parking Lot Re-striping Budget Code(s): 61370035 880000 20039 Vendor#n/a (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date May 1,2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature PA.t, gal/ ua Date: <br /> --611CFA1D507A495... <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 /> DocuSigned by: <br /> Office of the Risk Management Officer QLtSA. (,bv'lnd,{fb Date: <br /> ',---7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: <br /> v---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by <br /> Office of the County Attorney .Wun, Vbtit,Vl S Date: <br /> '4^---EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydP,orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 5 <br />