HomeMy WebLinkAboutR 2016-487-E AMS - Hillsborough Plumbing Co, Inc. to replace water pump and piping DocuSign Envelope ID:7C64F6F6-183B-4CE7-90AC-CB4486B1EBD0
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Hillsborough Plumbing Co., INC. Party/Vendor Contact Person: Rob McKee
(Mckee o,hillsboroughplumbing com) Contact Phone: 919.732.4506 Party/Vendor Address: 1020 Hwy. 57 N. City
Hillsborough State: NC Zip: 27278 Department: AMS Amount: $16,400.00 Purpose: Replace Water Pump and
Ri"g Budget Code(s): 61370035-880000-10016 Vendor 9 58196 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
8/23/16 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
D.-���5 g d by:
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Department Director's Signature. Date: 8/23/2016
Information Technologies
(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:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
D Sy tlby
lL(sa �awLCffa
Office of the Risk Management Office► Date: 8/24/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
D 5 g d by:
Office of the Chief Financial Officer �";�a 0_41/_ Date: 8/24/2016
C _ ,
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuS g d by:
Office of the County Attorney 166 )e6buv{s Date: 8/25/2016
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran ecoun.nc.goy
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 6/16 6
DocuSign Envelope ID:7C64F6F6-183B-4CE7-90AC-CB4486B1EBD0
Office of the Clerk to the Board Date:
Revised 6/16 7