HomeMy WebLinkAboutR 2015-442-E AMS - Baker Roofing Company for remedial roofing at Hwy 86 North DocuSign Envelope ID:2C304718-BA25-4043-9BDC-F17B3EF664D8
ORANGE COUNTY—DEPARTMENT USE ONLY
...... ........................
Departmen
Party/Vendor Name. Baker Roofing Cg�lajjy Party/Vendor Contact Person: L9gallyAr�Qjis Contact Phone., 919-
605-9164 Party/Vendor Address; 517 Mercury Street. City RjI[ei
State: NC Zip: 27603 Department: Asset
IvIgirit Srvcs Aniouriv ill 0_90 Purpose: remedial roofing at 14wv 86 North Budget Code(s): 61370035-882000-
30002 Vendor # 54603 (N/A if new vendor) Vendor is a BOCC COTISLIhant? Yes n NoEl Contract Type:
(Check one) New ff"i-enewal n Amendment ❑ Effective Date 08/12/2015 Approved by Board Yes[ l No
n Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by,
Department Director's Signature Z7�n _..mm._................. Date. 8/14/2015
�_,,0A46CF64498_.
Information Technologies
(Alrplicabl'e onty to hai,clwarc.lsoftvi,ai-epurclicives 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 Managenien
rance Standards,specifications, and requirements:
This agreement is approved for sufficiency ofinsy, Signe y:
Office of the Risk Management Officer_. Usti, (h�6-__ ................................................. Date: 8/14/2015
El 0ou
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: gned by:
Office of the Chief Financial Officer (A+6LA, Date: 8/14/2015
_E_Pt','2'DL',s F!C_2C F A84 7 B
Levi Services
This agreement is approved as to legal forin Ayf&, �uatjvy:
Office of the County Attorney Date: 8/14/2015
CEAAMKED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloydupon completion @
1-he following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/14 5
DocuSign Envelope ID:2C304718-BA25-4043-9BDC-F17B3EF664D8
Office of the Clerk to the Board--------- ...... ........................................................... �Datc:�
Devised! X0/14 6