2021-156-E DEAPR-RES Carolinas LLC driveway pipe replacement

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DocuSign Envelope ID:3E38OE16-OEE4-4809-9C60-91EC84F8B4C8 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: RES Carolinas, LLC Party/Vendor Contact Person: Joanne Cheatham Contact Phone: (336) 320-3849 Party/Vendor Address: 150 Pine Ridge City Mount Airy State: NC Zip: 27020 Department: DEAPR Amount: $86,300.00 Purpose:Replace a drivewU pipe and culvert Budget Code(s): 61370035 860000 20003 Vendor#67053 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: DocuSigned by: �� Sfa�� 3/5/2021 Department Director's Signatur Date: Agreements for emergency services or repair'are no�t'subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Risk Management This agreement is approved for sufficiency ofpon� 9 endcby.standards, specifications,and requirements: aura, rbrvuiib 3/5/2021 Office of the Risk Management Office Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in tFlYMVIRefMuired by the Local Government Budget and Fiscal Control Act: 0./21. 3/5/2021 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as to AJipg$+nn&*1*:sufficiency: r7661 rbbtA 3/9/2021 Office of the County Attorney Date: e�s�a�-a�uss-- Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 10