HomeMy WebLinkAboutR 2016-669-E AMS - Pickard Roofing Company, Inc. for gutter replacement at Historic Courthouse DocuSign Envelope ID:AAB48FBD-7E41-49ED-AF28-FCE317917B07
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Pickard Roofing Company Inc Party/Vendor Contact Person: Frank Meunier
(frank a,pickardroofing com) Contact Phone: 919.682.5702 Party/Vendor Address: 823 East Trinity Ave City Hillsborough
State:NC Zip: 27702 Department: AMS Amount: $53,460.77 Purpose: Gutter Replacement at Historic Courthouse Budget
Code(s): 61370035-882000-30002 Vendor# 63750 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 11/11/16 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/sofhvare 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 Office Q(asa(awuflo Date: 11/28/2016
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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: 11/28/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney �6 "'r6u" s Date: 11/28/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg coun nc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
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Office of the Clerk to the Board Date:
Revised 6/16 10