Orange County NC Website
DocuSign Envelope ID: F7CD390C -D39C -431 E- 8BF1- 64E98FD291 FE <br />ORANGE COUNTY - DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Woodcrest Farm of Orange County Party/Vendor Contact Person: Allan K. Green Contact <br />Phone: 919 - 933 -5105 Party/Vendor Address: 5604 Dairyland Rd City Hillsborough State: NC Zip: 27278 <br />Department: County Manager Amount: $300 Purpose: Blacksmith Demo Budget Code(s): 34600020 900057 <br />Vendor # 65258 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br />New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />DocuSigned by: <br />Department Director's Signature _' 6MMS V JA, Date: 8/22/2018 <br />0A3E81B12B364B4... <br />Information Technologies <br />(Applicable only to hardware /software 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 />DocuSigned by: <br />Office of the Risk Management Officer <br />USX (��6 Date: 8/23/2018 <br />7FDC F91 MH0498... <br />Financial Services <br />This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br />Office of the Chief Financial Officer <br />DocuSigned by: <br />7D4E5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />DocuSigned by:.,, <br />Office of the County Attorney , 6LLW Pkk ,�s <br />EAAM33ED8A905... <br />Clerk to the Board <br />Date: <br />8/23/2018 <br />Date: 8/24/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollkorangecountync.gov <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 />LF2018 v.1. <br />7 <br />Date: <br />