R 2016-732 DSS - Dickerson Fencing Co fence installation

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DocuSign Envelope ID:CDB26ED1-82FE-487A-872C-345E8A833228 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Dickerson Fencing Co., Inc. Party/Vendor Contact Person: William Dickerson, II.I Contact Phone: 919-596-6765 Party/Vendor Address: 202 N. Hoover Rd. City Durham State: NC Zip: 27703-2302 Department: Social Services Amount: $10,000 Purpose: Fencing installation at 113 Mao Budget Code(s): Vendor# (N,'A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date June 13, 2016 Approved by Board Yes❑ NoZ Agenda Date: This agreement is approved as to technical form and DocuSignedd 6y: Department Director's Signature EDAEIE196A83B455... Date: 6/21/2016 Information Technoloeies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insuran ��$� `oocusigrr n�ed__ tb by:,- ations, and requirements: ^ Office of the Risk Management Officer 7FDCF917ES00498... Date:. 6/14/2016 Financial Services This instrument has been pre-audited in the manner rC©ocusigned ay: ernment Budget and Fiscal Control Act: 6/23/2016 Office of the Chief Financial Officer Date: 7NE5181ACC1469... Leeal Services This agreement is approved as to legal form and su OocuSigned by, Office of the County Attorney C_4035 C B8304CA4M. Date: 6/23/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydroranaecountync.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: Revised 6116 5