Orange County NC Website
DocuSign Envelope ID: 1 EC07D09- 7E52- 4B20- AF64- 53C8794B18CF <br />ORANGE COUNTY - DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Atlantic Wildfire Resources PartyNendor Contact Person: Brandon Price Contact Phone: 336 - <br />430 -2562 PartyNendor Address: 629 Smothers Road City Madison State: NC Zip: 27025 Department: DEAPR <br />Amount: $879.20 Purpose: Controlled Burn Budget Code(s): 10515020 630000 20037 Vendor # 64358 (N /A if new <br />vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ <br />Amendment ❑ Effective Date March 1. 2018 Approved by Board Yes❑ NoZ Agenda Date: <br />This agreement is approved as to technical form and content: <br />Docusigned by: <br />F 3/5/2018 <br />Department Director's Signature �pL1Fd �f pl,(ti,(,[L Date: <br />611CFA1Q507A405... <br />Information Technologies <br />(Applicable only to har chvarelsofhvare 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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />WcuSigned by: <br />Office of the Risk Management Officer aUS& (,'6�6 � Date: 3/5/2018 <br />7FDCF9176800498... <br />.Financial Services <br />This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Docu Signed by: <br />Office of the Chief Financial Officer -Date: 3/5/2018 <br />6 <br />7NE5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal forth and sufficiency: <br />DocuSigned by; <br />Office of the County Attorney F16LW K6�t'YIfs Date: 3/6/2018 <br />EAAM33EMAW5... <br />Cleric to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@,orangecoun , nc.goy <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 <br />Revised 10/17 <br />Date: <br />