HomeMy WebLinkAboutR 2015-597-E AMS - BIRS, Inc. to repair jail roof DocuSign Envelope ID: E4652A7D-FDAF-4F3C-BFA4-22CB029C0980
ORANGE COUNTY-DEPARTMENT USE ONLY DS
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Department
Party/Vendor Name: BIBS. Inc. Party/Vendor Contact Person: Levi Broeker Contact Phone: 336-574-3060
Party/Vendor Address: PO Box 36197 City Greensboro State: NC Zip: 27416 Department: Asset Management
Services Amount: $39,689 Purpose: Repair Jail Roof Budget Code(s): 61370035-882000-30002 Vendor 4 57369
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New
Renewal ❑ Amendment ❑ Effective Date 10/29/2015 Approved by Board Yes❑ No® Agenda Date:
N/A
This agreement is approved as to technical form and c&n �;d by:
Department Director's Signature
Date: 11/11/2015
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& 66vvt,e 6 Date: 11/12/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer ` p Date: 11/14/2015
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form an r66 0&AG1'&y6:
1°e�t t�S
Office of the County Attorney Date: 11/16/2015
EAA3D33EDSA8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloai.oran ecoun nc.
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/14 5
DocuSign Envelope ID: E4652A7D-FDAF-4F3C-BFA4-22CB029C0980
Office of the Clerk to the Board Date:
Revised 10/14 6