R 2017-474-E DEAPR - N.W. Poole Well & Pump Co. to repair irrigation system

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DocuSign Envelope ID: 3DA3CD72-390C-4765-969A-9FC5040C04E7 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: N.W. Poole Well & Pump Co. Party/Vendor Contact Person: Iris Letchworth Contact Phone: (919) 266-9223 Party/Vendor Address: P.O. Box 1958 City Wendell State: NC Zip: 27591 Department: DEAPR Amount: $2,300.00 Purpose: Repair Irrigation System Budget Code(s): 61370035 880000 20039 Vendor # 60487 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date September 1,2017 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature NW. St tlA. 1t Date: 611CFA1 D507A495... 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: DocuSigned by: 6V1At 0 Office of the Risk Management Officer Qtistk. (, Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer (714, +� �, 67? Date: 7D4E5181ACC1409_. Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney l°elit 1tS Date: EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydAorangecountync.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