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DocuSign Envelope ID: DE9BFO5F-16BB-4A5B-A2E1-D1DBAE265AE3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Tommy Lawrence Electrical Contractors, Inc. Party/Vendor Contact Person: Warren Taylor <br /> Contact Phone: 336-599-4771 Party/Vendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573 <br /> Department: DEAPR Amount: $11,615.00 Purpose: Provide and Install new LED lighting Budget Code(s): 61370035 <br /> 880000 20039 Vendor#30928 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 10,2017 Approved by Board Yes❑No <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> p DocuSigned by: <br /> Department Director's Signature P t. Sf t 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 /> r DocuSigned"by: <br /> '�.�. <br /> Office of the Risk Management Officer QLISA. (bfr lA...t b 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 (21,,,,t 0.n Date: <br /> S---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r ^DocuSigned by: <br /> Office of the County Attorney ,Wun, leb't, , 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 @ Dolloyd a,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 />