Orange County NC Website
Revised 06/21 8 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Party/Vendor Name: WB Brawley Company Party/Vendor Contact Person: Jeremy Thompson Contact Phone: <br />919-636-1338 Party/Vendor Address: 5121 Kingdom Way, Ste.305 City Raleigh State: NC Zip: 27607 Department: AMS <br />Amount:$356554.00 Purpose: Upfit WCOB 3rd Floor Budget Code(s): 61370035-870000-10078 <br />Vendor # 67616 (N/A if new vendor) <br />No Contract Type: (Check one) NewVendor is a BOCC consultant? Yes x x Renewal Amendment Effective <br />Agenda Date:06/21/22 For Section XIV. c. contracts only, Approved by Board Date 06/23/22 Approved Board Yes x No <br />Current FY Budget Yes No <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 />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 insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <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 />DocuSign Envelope ID: 4D47EA4B-60C5-48CF-AE0E-7E32377FCE26 <br />6/23/2022 <br />6/28/2022 <br />6/28/2022 <br />6/28/2022