Orange County NC Website
DocuSign Envelope ID:865881 C3-FBC1-4A19-8098-B2B092F29435 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: T.A. Loving Company Party/Vendor Contact Person: David Philyaw Contact Phone: 919-734-8400, <br /> email-dphilyaw @taloving.com Party/Vendor Address: P.O. Box 919 City Goldsboro State: NC Zip: 27533 Department: <br /> AMS Amount: tbd Purpose: Design-Build Services, Sportsplex Field House Budget Code(s): tbd Vendor#N/A (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 9/6/2016 Approved by Board Yes[E]No❑ Agenda Date: 9/6/2016 <br /> This agreement is approved as to technical form and content: <br /> o sg y <br /> fly paw 5/12/2017 <br /> Department Director's Signature y as AFlO oa4,o_ Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 /> �—oosgea ey: <br /> Office of the Risk Management Officer aGsa Con""�to Date: 5/12/2017 <br /> Financial Services <br /> -" This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> �—oosgea ey: <br /> Office of the Chief Financial Officer ("I"t Date: 5/25/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> o sg aey: <br /> Office of the County Attorney°(o�ohvts Date: 5/26/2017 <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 /> Office of the Clerk to the Board Date: <br /> Revised 6/16 9 <br />