HomeMy WebLinkAboutR 2016-690-E AMS - Tibbens Construction for Whitted Service window and FACP doors DocuSign Envelope ID:96B6106E-06EB-4C14-92AA-B8A2C24D51D9
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark Tibbens (tibbensconst&aol com)
Contact Phone: 919.667.5366 Party/Vendor Address: 849 Moose Tracks Trail City Cedar Grove State: NC Zip:
27231 Department: AMS Amount: $13,450.00 Purpose: Whitted Service Window & FACP Doors Budget DS
Code(s): 61370035-892000-30012 Vendor#63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date December 5, 2016 l—
Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical forth and content:
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Department Director's Signature "� Date: 12/1/2016
Information Technolosies
(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:
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QUSOL (hw 6 12/2/2016
Office of the Risk Management Officer Date:
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 4 n� Date: 12/2/2016
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Legal Services
This agreement is approved as to legal forth and sufficiency:
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Office of the County Attorney �� a Date: 12/2/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.plc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 6/16 6