Orange County NC Website
DocuSign Envelope ID:AD41 E8C7-FC41-4249-A9C6-849589FOC1 56 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: UMA Party/Vendor Contact Person: Luke McFetters Contact Phone: 336-339-1198 Party/Vendor <br /> Address: 8815 Neville Road City Colfax State: NC Zip: 27235 Department: Solid Waste Amount: $29.920 Purpose: <br /> Retaining Wall Repair Budget Code(s): 50351020-630000 Vendor # N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 6, 2021 <br /> 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 <br /> project has not been initiated prior to execution of the agreement: <br /> DocuSign/etd11by: <br /> pbut (AW MS 7/13/2021 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency of'osuratwftssamdards, specifications,and requirements: <br /> QuSa. rbvvtclTb 7/13/2021 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the[7im"uhsed by the Local Government Budget and Fiscal Control Act: <br /> +� 7/14/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal f ^adsfimiency: <br /> Office of the County Attorney Date: <br /> 7/14/2021 <br /> SF3CDD"FQ65L"F <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 10 <br />