R 2017-599-E AMS - Heritage Restoration - Norwood Jones Laws Office masonary repointing, restoration

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DocuSign Envelope ID:8781 E5D4-347A-4B91-BD06-5EE2250879BF ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Heritage Restoration Party/Vendor Contact Person: Wayne Thompson (waynerestoration @gmail.com) Contact Phone: 919.724.8930 Party/Vendor Address: PO Box 814 City Hillsborough State: NC Zip: 27278 Department: AMS Amount: $5.900.00 Purpose: Norwood Jones Law office masonary repointing and restoration Budget Code(s): 10240020-630000 Vendor# 64809 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/16/2017 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature[ ""?"°"' Date: 10/25/2017 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: Office of the Risk Management Office aLsa(�` �° Date:10/2 5/2017 Financial Services ( This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: 10/25/2017 Office of the Chief Financial Officer1 21-21— Date: ,oaES,e,A ,>os_ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney 9eGw1°ebc}'1 Date: 10/26/2017 CEAA3o33EOeAa465_ 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