R 2018-016 DEAPR - Tommy Lawrence Electrical Contractors New Power Service River Park

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DocuSign Envelope ID: C4C456FC- 80C2 -4F13- 9580- 03C59C6C6245 ORANGE COUNTY — DEPARTMENT USE ONLY Department Party/Vendor Name: Tommy Lawrence Electrical Contractors, Inc. Party/Vendor Contact Person: Warren Ta for Contact Phone: 336 - 599 -4771 Party/Vendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573 Department: DEAPR Amount: $27,650. Purpose: Provide new electric service - River Park 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 ® Renewal ❑ Amendment ❑ Effective Date January 12, 2018 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature FNW, SWA,6C Date: 611CFA4D507A495... Asset Management (Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services content and specifications: uSigned by: Office of the Asset Management Director Fi� 74o v7iv.. Date: 9E880A46CFe"98.... Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: DocuSigned by: Office of the Risk Management Offic r sot. (,6ry(k `6 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 +��f G Date: 7C.E5 I'S I ACC 1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney 6 oU�S Date: EAA3033ED8AS465 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd a,oran eg_counl nc.gov The following signature block is for hard copies only and is not required for Docusign contracts: Revised 10/17 6