Orange County NC Website
Browse       Search
DocuSign Envelope ID:6F029BD1-08A9-4E09-B44A-92E559542BE6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Sof Surfaces, Inc. Party/Vendor Contact Person: Chandler McArthur Contact Phone: <br /> 336.529.7674 Party/Vendor Address: PO Box 239 City Petrolia, State: Ontario, Canada Zip: NONIRO <br /> Department: DEAPR Amount: $36,098.04 Purpose: Playground Safety Surfacing Budget Code(s): 61370035 <br /> 880000 20039 Vendor# 64700 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Sept 1,2017 Approved by Board Yes <br /> ❑ <br /> No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> p DocuSigned by: <br /> Department Director's Signature 06,tt {Alat Date: <br /> ',.--611CFA1D507A495... <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> c DocuSigned by: <br /> Office of the Asset Management Director Peil ?o on Date: 1 <br /> °"---9E880A46CF64498... i <br /> 1 <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 QLISA. COVIAA*& 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 <br /> Act: <br /> c--DocuSigned by: <br /> Office of the Chief Financial Officer rq.,f6A 0.,> per, G/ Date: <br /> `--7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney <br /> , DocuSigned <br /> IAA Date: <br /> EAA3D33ED8A8465._ <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 6 <br />