HomeMy WebLinkAboutR 2016-563-E SW - American Industrial Contractors, Inc. for heat & air service and maintenance DocuSign Envelope ID:595F86A3-E7A8-4291-9C8B-CD13A314E128
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: American industrial Contractors, Inc. Party/Vendor Contact Person: Tommy Oliver Contact
Phone: (336) 855-3301 Party/Vendor Address: PO Box 16224/2616 Phoenix Drive (27406) City Greensboro State:
NC Zip: 27416-6224 Department: Solid Waste Amount: 2,505 Purpose: Heat and Air Service and Maintenance
Budget Code(s): 50350020-570000 Vendor ff 59312 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date October 1, 2016 Approved
by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
Fi;��uSigned by:
Department Director's Signature mtko" Date: 10/11/2016
6E763F604A144E2...
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:
PUS&DocuSigned"by:'�.Office of the Risk Management Officer (,bv>tic,11 b Date: 10/11/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner%quired b�the Local Government Budget and Fiscal Control Act:
o uSigned
Office of the Chief Financial Officer 0.&. Date: 10/12/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Jb L°b�c v�5 Date: 10/12/2016
EAAMKEDM8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d&oran etync.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 5