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DocuSign Envelope ID:887CE981-F99A-4F1A-AA02-27481470A8DD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: D. W. Evans Electric, Inc. Party/Vendor Contact Person: Josh Evans Contact Phone: (919) <br /> 383-6020 Party/Vendor Address: 3511 Evans Corporate Ln City Durham State: NC Zip: 27705 Department: <br /> Solid Waste Amount: $7,896.00 Purpose: Electrical Work and Replacement of Light Fixtures in Maintenance Shop <br /> Budget Code(s): 50350020-570000 Vendor# 43243 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 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 /> DocuSigneld yby: <br /> Department Director's Signature �lta+ 5 Date:4/29/2019 <br /> Agreements for emergency services of .8BEe6F843690496 . 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 /> WcuSigned by: <br /> Office of the Risk Management Officer Qusa. L.D�6 Date:4/29/2019 <br /> 7FDCF9176900408. <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 Officer s6 � Date: 5/1/2019 <br /> 704E5981ACC1409. <br /> LeEal Services <br /> This agreement is approved as to leizal form and sufficiencv: <br /> OocuSigned by: <br /> Office of the County Attorney ��x- �t, fi6S(b Date:5/1/2019 <br /> 079A4D525C9F4FB. <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 />