Orange County NC Website
Browse       Search
DocuSign Envelope ID:C2500EBD-6FF9-4A09-9D2D-AA4443F63583 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Wayne Oldham & Son House Movers Party/Vendor Contact Person: Daiyle Oldham <br /> Contact Phone: 919.548.6641 Party/Vendor Address: 12901 Slier City-Glendon Road City Bear Creek State:NC <br /> Zip: 27207 Department: AMS Amount: NTE$ 22,000.00 Purpose: Sportsplex block house move Budget Code(s): <br /> 5353 0030 880000 Vendor # 64722 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/30/17 Approved by Board <br /> Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: 11/15/2017 <br /> Department Director's SignatureE °P Date: <br /> 9F680,16CF64698... <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 /> r--DO<uSignetl by: <br /> Office of the Asset Management Director ;14 p Date: <br /> "°"' 11/15/2017 <br /> •-9F.880A460Fb4496... <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 aUsa C'616 Date:11/29/2017 <br /> �IFDCF91I6800G98... <br /> Financial Services <br /> —D6 This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> 06' Act: <br /> l---DocuSigned by: <br /> Office of the Chief Financial Officer ("1 °"^ ^` Date:11/29/2017 <br /> ‘-7D4F5181.0.09.,, <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> l---DocuSigned by: <br /> Office of the County Attorney )oluti �e� Date:11/29/2017 <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 />