HomeMy WebLinkAboutR 2015-565-E AMS - Concrete Alterations for grinding and sealing concrete floors at 113 Mayo St., DSS expansion DocuSign Envelope ID: 36E6A8AF-COF9-489A-B278-380FB6C91329
ORANGE COUNTY-DEPARTMENT USE ONLY DS
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Department
Party/Vendor Name: Concrete Alterations. Party/Vendor Contact Person: Marcus Yono,VP Contact Phone: 919-851-1352
Party/Vendor Address: 2700 Gateway Centre Blvd, Ste. 650 City Morrisville State: NC Zip: 27560 Department: AMS
Amount: $14,250 Purpose: Grinding and sealing concrete floors at 113 Mayo Street. DSS Expansion Budget Code(s):
10240320-570001 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type:
(Check one)New ® Renewal❑ Amendment ❑ Effective Date 10/9/2015 Approved by Board Yes❑No® Agenda
Date:N/A
This agreement is approved as to technical form an beb�gned by:
Department Director's Signature Date:10/13/2015
9E880A46CF64498...
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:
DocuSigned""by:
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Office of the Risk Management Officer PCs& �,bvvt,e 6 Date: 10/14/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Gr�g ned by:
Office of the Chief Financial Officer + Date: 10/26/2015
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and I' j�ed by:
Office of the County Attorney Date: 10/27/2015
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollop orangecount.nne.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/14 10