R 2018-014 DEAPR - Tommy Lawrence Electrical Contractors Replace broken poles

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DocuSign Envelope ID: OB94A554- F378- 4C4A- AE6E- 3EFlOADOCF43 ORANGE COUNTY — DEPARTMENT USE ONLY Department Party/Vendor Name: Tommy Lawrence Electrical Contractors, Inc. Party/Vendor Contact Person: Warren Taylor Contact Phone: 336 -599 -4771 Party/Vendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573 Department: DEAPR Amount: $19,877.00. Purpose: Replace broken poles at soccer.com Budget Code(s): 61370035 880000 20039 Vendor # 30928 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New Z Renewal ❑ Amendment ❑ Effective Date January 12, 2018 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content: DocuSignedd by: Department Director's Signatur AVt, S1A,IAA Date: 611CFA1D507A495... Asset Management (Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services content and specifications: DocuSigned by: Office of the Asset Management Director 7A.—p"— _ Date: 9E880A46CF64498... Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: DocuSigned ""by:''� Office of the Risk Management Officer FaUS& vvullb _ 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 Office 01.E CZ/ Date: CfNE5181ACC1409... Lezal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney blA,ln, Date: EWD33ED8A8465__. Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countyllc.gov The following signature block is for hard copies only and is not required for Docusign contracts: Revised 10/17 6