R 2016-744 AMS - Penn Davis Animal Services painting

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DocuSign Envelope ID:5BB79893-2A98-4C27-B3FC-097C7EB5D41 E ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Penn-David Coatings, Inc Party/Vendor Contact Person: Jeff Cook Contact Phone: 919-779- 0271 Party/Vendor Address: PO Box 575 City Garner State:NC Zip:27529 Department: AMS Amount:$4,840.00 Purpose: ANIMAL SERV PAINT Budget Code(s): 10240320-570001 Vendor 4 61197 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to tec. Docusigned by: nt:. Department Director's Signature- �5 cA4sci caass�. --- Date: 2-016 Information Technolo?ics (Applicable only to hardware/sofAvare 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 ingnrance.standards,specifications,and requirements: DocuSigned by: Office of the Risk Management Officer USX Cb�6 Date:9/16/2016 7FDCF917 6800458... Financial Services This instrument has been pre-audited in - DocuSigned by: he Local Government Budget and Fiscal Control Act: t ' °' °" 9/16/2016 Office of the Chief Financial Officer Date: 704E5181ACCi409... Legal Services This agreement is approved as to DocuSigned by: limey: �6�1n. Wb IfS 9/16/2016 Office of the County Attorney_ EAA3D33ED8AW5... Date: Clerk to the Board Received for record retention: All Docusign contracts roust be copied to Donna Lloyd upon completion @ Dolloyd[7a orangecountync.goy, 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