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DocuSign Envelope ID: 167D3F94-AAC8-4BA4-B5EE-48724F55D42E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> De aJ�rtment <br /> Party/Vendor Name: Willie R. Newton PartyNendor Contact Person: Willie R. Newton Contact Phone: 910-690- <br /> 0944 Party/Vendor Address: 403 Grady Rd City Cameron State: NC Zip: 28326 Department: AMS Amount: <br /> 2 483,00 Purpose: WCOB Door Replacement Budget Code(s): 10240320"-570001 Vendor # 64689 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic,-'-I--pcuSi A by: <br /> Department Director's Signature °"" °" Date: 8/15/2017 <br /> LI9ESSCA46CF64498... <br /> Information Technolo0es <br /> (Applicable only to hard',varelsoftware 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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency c Docu5igned by: specifications,and requirements: <br /> Office of the Risk Management Officer 7FaCF917e900498... Date: 8/15/2017 <br /> Financial Services <br /> This instrument has been pre-audited in the_ oocu5igned'by: '' 'veal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 8/21/2017 <br /> 704E51S1ACC1469... <br /> LeEal Services <br /> This agreement is approved as to legal f-`_,-c,Signed by`��' <br /> Office of the County Attorney �b�rt. � Date: 8/2 5/2017 <br /> EAAM33EMAW5... <br /> Clerk to the Board <br /> i <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ D61loyd(a)orangecountync.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 Date: <br /> Revised 2/17 5 <br />