R 2018-701 AMS - Tommy Lawrence 510 breaker

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DocuSign Envelope ID:899D217B-40AE-4E9D-9F28-73B23967930C ORANGE COUNTY-DEPARTMENT USE ONLY Department PartylVendor Name: Tommy Lawrence Elec. Cont. Party/Vendor Contact Person: Warren Taylor Contact Phone: 336-599-4771 Party/Vendor Address:PO Box 641 City Roxboro State:NC Zip:27573 Department:AMS Amount: 660.84 Purpose: 510 Meadowland Breaker Budget Code(s): 10240320-570000 Vendor # 58196 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 10/22/18 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical f Docusigned by: 1_# `""�i°" 10/18/2018 Department Director's Signature _ _Date. 9ES8Ck40CFG449S-.. - - -- --- -- Information Technologies (Applicable only to hardrvarelsoftware purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: i Risk Management This agreement is approved for sufficiency of insE,r nnrp ctanrlarrlc enpeifrcations,and requirements: Docusigned by: Office of the Risk Management Officer USA` �6 I)ate:10/19/2018 7FDCF9176900498.-. Financial Services This instrument has been pre-audited in the- ' oocusigned ay:'L "`L-',ocal Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date:10/19/2018 7D4E5181ACC14G9.-. E Lezal Services This agreement is approved as to legal f+ DocuSigned by: �66L, KkA 10/19/2018 Office of the County Attorney fate: EAAM33ED8AW5-.- - _ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll c_borangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: _ I I Revised 10117(Mgr appry 5k 6118) f E