HomeMy WebLinkAboutR 2016-169-E AMS - Tac Welding to repair drain doors at Animal Services DocuSign Envelope ID: D5D06FFD-4F06-41F3-995C-9CC783787299
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tac Welding Party/Vendor Contact Person: Tyler Dean Contact Phone: (919) 886-3727
Party/Vendor Address:4816 High Rock Rd City Efland State:NC Zip:27243 Department:AMS Amount:$4,500.00
Purpose:Animal Sery Drain Doors Budget Code(s): 10240320-57000 Vendor#63549 (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:
Signed by:
Docu
Department Director's Signature +L Date:-2y237 1fr16
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:
DocuSig/'ned""by:
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Office of the Risk Management Officer Pusa, r,Orv�c,i16 Date:
7FDCF9176800498... 2/24/2016
Financial Services
This instrument has been pre-audited in the> oau ,e squired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer (� `�°'�"��°'L Date:
7D4E5181ACC1409... 2 2_4T2_0 16
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney 6 In, r6ufs Date:
EAAMKEDM8465... 2/26/2616
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d a,oran eg coun nc, ov
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 4