Orange County NC Website
Browse       Search
DocuSign Envelope ID:72DE1801-F474-422B-A424-5E07EE3FFB3D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Carolina Earthscapes Party/Vendor Contact Person: David Fletcher Contact Phone: 919-730- <br /> 5373 Party/Vendor Address: 1841 North HWY 119 City Mebane State: NC Zip: 27302 Department: AMS <br /> Amount: $9,150.00 Purpose: Jail Window Budget Code(s): 10240320-570000 Vendor # 63117 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 9/23/2019 Approved by 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 Signature sruw- kmA Date:9/10/2019 <br /> 2Do9coaes,a44c5. <br /> Agreements for emergency services or repair are not subject 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 insurQ�ts�' 5�6 DocuSd by: ' ications,and requirements: <br /> Office of the Risk Management Officer 7FDC F91 76800498. Date:9/13/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer A Date:9/16/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form an DocuSigned by: <br /> Office of the County Attorney 6LW Pkk l 5 Date:9/16/2019 <br /> . <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 />