HomeMy WebLinkAboutR 2016-316-E AMS - Pickard Roofing Company, Inc. for historic courthouse roof and gutter repairs DocuSign Envelope ID:693BO3F5-75D8-4B13-9FF9-25BE7951COCF
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Pickard Roofing Company, Inc Party/Vendor Contact Person: James E. Pickard III,
j>m@pickardroofmg.com Contact Phone: 919.682.5702 Party/Vendor Address: 523 E. Trinity Ave City Durham
State: NC Zip: 27702 Department: AMS Amount:NTE$15,858.00 Purpose: Historic Courthouse Roof& Gutter
Repairs Budget Code(s): 61370035-882000-30002 Vendor# 63750 (N/A if new vendor) Vendor is a BOCC
consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June
10,2016 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature �.#7A __ Date: 6/23/2016
Information TechnoloL7ies
(Applicable only to hardware/sofrivare 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:
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Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Uoc 59 dby:
Office of the Risk Management Officer AUS0,(awuflo Date: 6/23/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Uoc 59 dby:
Office of the Chief Financial Officer rq"-,�a Date: 6/23/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
d Sig d by
Office of the County Attorney P'6 doh " Date: 6/23/2016
�E.�s�9E�ne.Q, i
Clerk to the Board
Received for record retention:
All Docusign.contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecoll t c.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 1/16 5
DocuSign Envelope ID:693BO3F5-75D8-4B13-9FF9-25BE7951COCF
Office of the Clerk to the Board Date:
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