HomeMy WebLinkAboutR 2015-183-E DEAPR - Axis Construction Management, Inc. for renovation at Board of Elections
DocuSign Envelope ID: 98E711B6-8A9E-44E0-AF98-ED999B21F3CA
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Axis Construction Management, IncParty/Vendor Contact Person: Tonny BranonContact
Phone: 919-306-2796 Party/Vendor Address: 3308 Durham-Chaple Hill Blvd. Ste 150 City DurhamState: NC
Zip: 27707Department: Board of ElectionsAmount: $2286.25Purpose: RenovationBudget Code(s): 61370035-
880000-10042.Vendor # 62799(N/A if new vendor) Vendor is a BOCC consultant? Yes NoContract
Type: (Check one) New Renewal Amendment Effective Date Approvedby Board YesNo
Agenda Date:
This agreement is approved as to technical form and content:
Department Director’s Signature
________________________________________ Date: ________
Information Technologies
(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer________
___________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer
___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer
____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney
__________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloydupon completion@Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/14
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DocuSign Envelope ID: 98E711B6-8A9E-44E0-AF98-ED999B21F3CA
Office of the Clerk to the Board
__________________________________________Date:_________
Revised 10/14
6