Orange County NC Website
DocuSign Envelope ID: FD9947AB-B386-446B-AFDD-4088AF7B1812 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Seegars Fence Company Party/Vendor Contact Person: Jason Daniels Contact Phone: 919-489- <br /> 5303 Party/Vendor Address: PO Box 61378 City Durham State: NC Zip: 27715 Department: AMS Amount: $935 <br /> Purpose: 113 Mayo Street fence repair Budget Code(s): 10240320-570001 Vendor # 41409 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 10/24/2017 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> rLDocu igned y: <br /> Department Director's Signature d npooino*.t. Date: 10/19/2017 <br /> 9E880A46C F64498... <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 i :eigan4ards,specifications,and requirements: <br /> r,6VtA. tt0 10/19/2017 <br /> Office of the Risk Management Officer Date: <br /> F-9fi7680o4.8... <br /> DS <br /> Financial Services r t5 <br /> This instrument has been pre-audited in the mannerDEati by the Local Government Budget and Fiscal Control Act: <br /> 6�a ,�o..a/gym.. 10/19/2017 <br /> Office of the Chief Financial Officer Date: <br /> \--7D4E5181ACC1409_. <br /> Legal Services <br /> This agreement is approved as to legal form sar£ xaieaney: <br /> ,,bIA,A, l°blit,Vvs 10/20/2017 <br /> Office of the County Attorney Date: <br /> EAA8U33EU8A8465... <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 2/17 5 <br />