HomeMy WebLinkAboutR 2016-659-E AMS - Baker Roofing to replace Central Recreation Building roof DocuSign Envelope ID:A9CF8A9E-4CDB-4BB9-A678-D4AD80CD1393
ORANGE COUNTY-DEPARTMENT USE_ONLY
Department
Party/Vendor Name: Baker Roofing Party/Vendor Contact Person; Dylan Baker Contact Phone: 919.828.2975 Party/Vendor
Address: 517 Mercury Street City Ralei State: NC Zip: 27603 Department: AMS Amount: 170,320 Purpose: Replace
Central Recreation Building Roof Budget Code(s): 61370035-880000-30002 Vendor#56403 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date
11/7/16 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 �°"�°°" Date: 11/15/2016
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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:
D Sg dby. 11/16/2016
Office of the Risk Management Office Q- �ewu f{o Date:
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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; 11/16/2016 .
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Legal Services
This agreement is approved as to legal form and sufficiency:
D S g dby:
Office of the County Attorne ,i, Date: 11/16/2016
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Clerk to the Board
Received for record retention;
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran e� countync. og_v
The following signature block is Tor hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 10