HomeMy WebLinkAboutR 2016-236-E AMS - Cameron & Cameron Assembly, Moving and Storage - move furniture/fixtures for flooring restoration at WHSC dental clinics DocuSign Envelope ID: 7AC381CB-4AC4-46B1-8BE7-56D9F7188FOA
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Cameron & Cameron Assembly, Moving & Storage Party/Vendor Contact Person: Bennie
Cameron Contact Phone: 919-530-1202 Party/Vendor Address: 1818 Avondale Drive, Ste 18 City Durham State: NC
Zip: 27701 Department: AMS Amount: $2,500 Purpose: moving furniture and fixtures for flooring restoration at
WHSC Dental Clinics Budget Code(s): 10240520-630000 Vendor#35179 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
04/29/2016 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical form arbd�conneiq:
' i; �O"`7"�O"' Date: 4/30/2016
Department Director's Signature
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 insipran-e standards, specifications, and requirements:
ocu igned""y:''11ii
Office of the Risk Management Officer rausa, rbvv�cal6 Date: 5/2/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the 9trs1F, fed by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 7n,� `�OZ"��"� Date:5/2/2016
4E 5181 ACC1409...
Legal Services
This agreement is approved as to legal for ,m fioicwy::
�66t, r6ufs 5/3/2016
Office of the County Attorney Ero�D3sEa Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL�oranaecountync.Qov
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 1/16 5