HomeMy WebLinkAboutR 2016-269-E AMS - Tibbens Constructions, Inc. for Whitted Rm. 210 renovations DocuSign Envelope ID:44129BFF-56A5-4168-ACB7-14BC9CF1 E527
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Tibbens Construction, Inc. Party/Vendor Contact Person: Mark Tibbins
Tibbensconst(2caol.com Contact Phone: 919.643.2856 Party/Vendor Address: 846 Moose Tracks Trl City Cedar
Grove State: NC Zip: 27231 Department: AMS Amount: $2,300.00 Purpose: Whiffed Room 210 Renovations
Budget Code(s): 10240320-570001 Vendor# 63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑ NoE Contract Type: (Check one)New M Renewal ❑ Amendment El Effective Date Approved by
Board YesE]NoE Agenda Date:
This agreement is approved as to technical form and content:
D.-S.g..d by:
Department Director's Signature Date: 5/19/2016
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:
DSig..'by:
USA, (h�6 5/19/2016
Office of the Risk Management Officer[�CS11.111111 Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DIIUSild by:
Office of the Chief Financial Officer Date: 5/26/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
DuS,g..d by.
Office of the County Attorney )66 )bbuvfs Date: 5/27/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydaoranaccountvnc.2ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 1/16 5
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DocuSign Envelope ID:44129BFF-56A5-4168-ACB7-14BC9CF1 E527
Office of the Clerk to the Board Date:
Revised 1/16 6
You created this PDF from an application that is not licensed to print to novaPDF printer(http://www.novapdf.com)