Orange County NC Website
DocuSign Envelope ID:A5151355-999B-413E-AOE3-C722EE592B4B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Bryant-Durham Services, Inc. Party/Vendor Contact Person: Chris Wolfe Contact Phone: <br /> 919-383-9227 Party/Vendor Address: PO Drawer 2597 City Durham State: NC Zip: 27715 Department: Solid <br /> Waste Amount: 17, 408 Purpose: Electrical Repair and Installation Budget Code(s): 50350020-570000 ($6,274) <br /> and 50352020-630000 ($11,134) Vendor#29123 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 4-18-19 Approved by <br /> Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature2cBBEHF843690496 <br /> k �lta+ 5 Date: 4/22/2019 <br /> Agreements for emergency services . to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer aUSa Chvm& Date: 4/26/2019 <br /> 7FDCF9176800498. <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 /> DocuSigned by: <br /> Office of the Chief Financial Office 4/29/2019 <br /> '� � Date: <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to leeal form and sufficiencv: <br /> DocuSigned by: {� <br /> Office of the County Attorney <br /> � <br /> �WAk t, �S(b Date. 4/29/2019 <br /> 079A4D525C0F4FB. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 <br /> 8 <br />