HomeMy WebLinkAboutR 2014-517 AMS - Cruz Concrete Experts LLC for labor, install basketball court at RENA Community Center DocuSign Envelope ID:460EC398-6CEE-4CAF-831A-1D646823727C
ORANGE COUNTY—DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Cruz Concrete Experts, LLC Party/Vendor Contact Person: Demetrio Cruz, Owner Contact
Phone: 336-736-0520 Party/Vendor Address: 800 Linens Street City Graham State: NC Zip: 27253 Department:
Asset Management Services Amount: $2,000 Purpose: RENA Community Center - labor to install Basketball Court
Budget Code(s): 61370035-880000-10054 Vendor# 62662 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/01/2014
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature r /b /y I Date: t
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`Information TechpSfogies
(Applicable only to hardware/software purchases or rlejateyi services)This agreement has been reviewed and is
approved as to information technology content and spcations:
Office of the Director of Information Technology N„ Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
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Office of Risk Management use (a�b Date: 10/3/2014
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Financial Services
This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act:
DocuSigned by.
Office of the Chief Financial Officer_ I �� .bm Date: 10/6/2014
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Legal Services
This agreement is approved as to legal form and sufficiency:
D—Signed by
Office of the County Attorney[EAUD33ED9AZ465�� b�ts Date: 10/6/2014
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Clerk to the Board
Received for record retention:
D—Signed by
Office of the Cleric to the Board bv," b4W Date: 10/7/2014
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Revised 7/14 4