Orange County NC Website
Revised 06/21 <br />9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Carolina Green Corp Party/Vendor Contact Person: Kerry Price Contact Phone: 704-753- <br />1707 Party/Vendor Address: 10108 Indian Trail-Fairview Road City Indian Trail State: NC Zip: 28079 <br />Department: DEAPR Amount: $17,979.00 Purpose: Soccer field maintenance Budget Code(s): 10515020 630000 <br />20026 Vendor # 55230 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: <br />(Check one) New Renewal Amendment Effective Date April 21, 2022 Approved by Board Yes No <br /> Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes <br />No <br /> <br />This agreement is approved as to technical form and co ntent and I as Department Director affirmatively state work <br />on this project has not been initiated prior to execution of the agreement: <br /> <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 <br />agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br />was addressed: <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficie ncy of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br /> <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 co pies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 66645257-B0F4-4CEB-BDCD-D61E199E7BBB <br />4/26/2022 <br />4/26/2022 <br />4/28/2022 <br />4/28/2022