HomeMy WebLinkAboutR 2016-515-E AMS - Tibbens Construction for structural steel repairs at Whitted Bldg. DocuSign Envelope ID:2A15E002-72B2-412E-B773-2B3C7D7522A2
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark Tibbens (tibbensconst@aol.com)
Contact Phone: 919-643-2856 Party/Vendor Address: 849 Moose Tracks Trl City Cedar Grove State: NC Zip:
27231 Department: AMS Amount: NTE $13,447.17 Purpose: Structural Steel Repairs Budget Code(s):
10240320-570000 Vendor#63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date August 29, 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 fi Date: 9/6/2016
Information Technologies
(Applicable only to hrnrdware/softtivare 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:
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Office of the Risk Management Officer Q(,sa(h 6 Date: 9/8/2016
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
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Office of the Chief Financial Officer Date: 9/8/2016
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Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the Count y �Attorney �6L, r6 ty s Date: 9/8/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecount nc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
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DocuSign Envelope ID:2A15E002-72B2-412E-B773-2B3C7D7522A2
Office of the Clerk to the Board Date:
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