HomeMy WebLinkAboutR 2016-103-E AMS - BIRS, Inc. for courthouse roof upgrade DocuSign Envelope ID:AEE43C90-CC92-4D5D-A539-7CAD61B8867F
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: BIRS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: (336) 207-1942
Party/Vendor Address: P.O Box 36197 City Greensboro State: NC Zip: 27416 Department: AMS Amount:
$10,875.00 Purpose: Courthouse Roof Upgrade Budget Code(s): 10240320-57000 Vendor # 57369 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signatur c 714o �on 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:
DocuSigned""by:
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Office of the Risk Management Officer 5&a, rbrv�c,116 Date:
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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 r�AU� bin Date:
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal foam end 1Yficiency:
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Office of the County Attorney Jb �b��vl' Date:
EAAMKEDM8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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:
I
Revised 10/14 4