R 2019-654 DEAPR - Tommy Lawrence Electrical electrical work River Park

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DocuSign Envelope ID:02AD3AOB-303A-4240-9F5E-504B725E5AD8 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Tommy Lawrence Electrical Contractor's Inc. Party/Vendor Contact Person: Warren Taylor Contact Phone: 336-599-4771 Party/Vendor Address: P.O. Box 641 City Roxboro State: NC Zip: 27573 Department: DEAPR Amount: $722.5 Purpose: Emergency Electrical Work for Hog Day Budget Code(s): 6137003588 000020039 Vendor # 30928 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/201200 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Qocusigned by: �aVtG Department Director's Signa#a 5fOA Date: 9/20/2019 Agreements for emergency service....$:tea,°Ql. 11WL Debject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: This emergency work was needed to accommodate a Hog Day event stove plug that would not fit in the current electrical parcel at the park.The work needed to be completed prior to the event scheduled for 9/21/2019. Information Technologies (Applicable only to hardwarelsgfiware 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 sufficienev of insurance standards,specifications,and requirements: Docusigned by: Office of the Risk Management Office Qusa. t_,DV1n&6 Date: 9/23/2019 os 7FDCF9176800498. �J Financial Services r This instrument has been pre-audited-^--I,-cusigned gyro .rod`-y the Local Government Budget and Fiscal Control Act; Office of the Chief Financial Offic ` q `�"�" °� Date: 9/24/2019 7NE5181ACC1400 Legal Services This agreement is approved *� '�^�' -� ^'--fficienc : g Pp as Docusigned Gy: Y Office of the County Attorne �66A, K6kk 5 Date: 9/24/2019 EAA3D33ED8AW5.. Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 12/18 4