HomeMy WebLinkAboutR 2016-713-E AMS - Owens Roofing Inc. for roof repairs at DA and BOE Bldgs. DocuSign Envelope ID: C55312FA-A914-492C-8FAD-C8F94AB43B19
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Owens Roofing Inc. Party/Vendor Contact Person: Bert Owens(Bert&owensroofinginc.com)
Contact Phone: 919-821-0082 Party/Vendor Address: 301 West Cabarrus St City Raleigh State: NC Zip: 27601
Department: AMS Amount: $2200.00 Purpose: Roof Repairs DA& BOE Buildings Budget Code(s): 61370035-
882000-30002 Vendor# 40199 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 1/5/17 Approved by Board Yes❑No
® Agenda Date:
This agreement is approved as to technical forth and content:
Do
Department Director's Signature Date: 12/28/2016
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:
..........by:
Office of the Risk Management Office aGsa�owu.lfo Date: 12/28/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
D Sib-d by:
Office of the Chief Financial Officer Date: 12/29/2016
Legal Services
This agreement is approved as to legal forth and sufficiency:
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Office of the County Attorney olun,r6
Date: 12/30/2016
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