HomeMy WebLinkAboutR 2016-398-E DEAPR - McQueen Construction, Inc. for Fairview parking expansion - 6-21-2016, Item 5-i DocuSign Envelope ID:2E5A8509-E4CD-4A45-9241-C69B05F6A27D
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: McQueen Construction, Inc. Party/Vendor Contact Person: Harvey McQueen Contact Phone: 919
617-0694 Party/Vendor Address: 619 Patrick Court City Bahama State: NC Zip: 27503 Department: DEAPR Amount:
$339,000. Purpose: Fairview Parking Expansion Budget Code(s): 61370035 880000 20041 Vendor # 59479 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑
Effective Date July 18,2016 Approved by Board Yes®No❑ Agenda Date: June 21,2016
This agreement is approved as to technical form and content:
DocuSignedd by:
Department Director's Signature um- sfA.1'a Date:
611CFA1D507A495...
Information Technologies
(Applicable only to hardware/sofhaare 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:'�.�.
Office of the Risk Management Officer QuSa rbV t t t{{b Date:
7FDCF9176800498...
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 (' °n Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorney. 56,6, r6ufs Date:
EAAMKEDM8465...
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oranaecoimtync.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:
Revised 6/16 8