HomeMy WebLinkAboutR 2015-558 SW - Four Star Petroleum Services, Inc. for services to relocate tank
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Four Star Petroleum Services, Inc. Party/Vendor Contact Person: Cecil Morgan/Victor Foti
Contact Phone: 540-563-1022 Party/Vendor Address: 1119 Beaumont Rd City Roanoke State: VA Zip: 24019
Department: Solid Waste Amount: 35,855.13 Purpose: Relocate tank Budget Code(s): 50351020-630003 Vendor
#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
Renewal❑ Amendment ❑ Effective Date 9-16-15 Approved by Board Yes❑No® Agenda Date:N/A
This agreement is approved as to technical form apf content:
Department Director's Signature Date: O /�
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 �/lQ Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Officer 1��? &n� Date: /v i 4 JS
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: ,, Q
Office of the Chief Financial Officer "Date-
G
Legal Services
This agreement is approved as to legal florin d sufficie
Office of the County Attorne - Date:
Y
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy @oran eg c� ny�c.gov
The following signature block is for hard copies only of equired for Docusign contracts: rn /
Office of the Clerk to the Board Date: `r