Orange County NC Website
DocuSign Envelope ID:2EE4F1 CD-7746-4100-6875-349083396637 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Clark Poe Construction, Inc. Party/Vendor Contact Person: F. Clark Poe, President Contact <br /> Phone: (919) 625-5104 Party/Vendor Address: 134 Granger Road City Chapel Hill State: NC Zip: 27516 <br /> Department: DEAPR Amount: $9,500 Purpose: lead paint abatement on interior walls and ceiling; carpentry repairs <br /> for fmish painting; surface preparation; interior and exterior fmish painting; and site clean-up work and grading. <br /> Budget Code(s): 61370035 880000 20027 Vendor#58637 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Nov. 1,2017 Approved <br /> by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature �G�1tit StAIn,GIL Date: 10/31/2017 <br /> 611CFA1D507A495... <br /> Information Technologies <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 /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''� <br /> Office of the Risk Management Officer 1' Liso c6vvu,tt0 Date: 11/2/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 4.161 Date:11/6/2017 <br /> _.__....7D4E5181 ACC 1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney ,)ttuA, rbltyfS Date:11/7/2017 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a,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 2/17 5 <br />