Orange County NC Website
DocuSign Envelope ID:35E73878-4DA4-481E-A5CC-AMD5A633083 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Creative Business Interiors Party/Vendor Contact Person: D.C.Ramey Contact Phone:919-369-5491 Party/Vendor Address: <br /> 8720 Fleet Service Drive City Raleigh State:NC Zip: 27617 Department: AMS Amount: $1878.46 Purpose:Link Relocate: 115 E King Sound <br /> Masking revised scope Budget Code(s):61370035-880000-10069 Vendor#65561 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> ❑ Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date 02/25/2020 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 on this project has not been initiated <br /> prior to execution of the agreement: <br /> o sy any: 2/20/2020 <br /> Department Director's Signature hw_ QYItp[.f Date: <br /> Agreements for emergency services or repai 2nnecnr=�s1 s4scs he above affirmation. If services related to this agreement have already begun or been <br /> completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> 0 s g d by <br /> �NS- �t . t <br /> Office of the Risk Management Officer Date:2/21/2020 <br /> 7FW,M17(W M48 <br /> M <br /> Financial Services <br /> This instrument has been pre-audited in It—oo��sy ay:;-A t..the Local Government Budget and Fiscal Control Act: <br /> 2/24/2020 <br /> Office of the Chief Financial Officer '�°'"��"` Date: <br /> 704Fi'181 ACC14N <br /> Legal Services <br /> This agreement is approved as to legal <br /> Office of the County Attorney 6 Rt-1'YIUt, Date:2/24/2020 <br /> 4C5F3 CnnFOR94 F6 <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 11/19 <br />