R 2017-258-E DEAPR - Tommy Lawrence Electrical Contractors, Inc. to install outlets and lights

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DocuSign Envelope ID:09B4C2F7-7844-4677-A317-23CDB4F22A9A ORANGE COUNTY-DEPARTMENT USE ONLY Department PartyNendor Name: Tommy Lawrence Electrical Contractors, Inc. PartyNendor Contact Person: Warren Taylor Contact Phone: 336-599-4771 PartyNendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573 Department: DEAPR Amount: $675 Purpose: Install outlets and lights Budget Code(s): 61370035 880000 20037 Vendor II 30928 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[S] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 1, 2017 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: p DocuSigned by: Department Director's Signature P �1 al ,Ut Date: --611CFA1D507A495... 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: p DocuSigned""by: '' .. Office of the Risk Management Officer ((USX COrtn._��.�'6 Date: ',----7FDCF9178800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: l---DocuSigned by Office of the Chief Financial Officer ('b sA A Date: \--7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: p DocuSigned by Office of the County Attorney jOLIA, VOA Date: '4^---EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 2/17 5