HomeMy WebLinkAboutR 2017-114-E VB - Tibbens Construction to build corner counter in Visitors Bureau DocuSign Envelope ID:46FC46BA-F819-406B-AF59-D20F98748C88
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark Tibbens Contact Phone: 919-667-
5366 Party/Vendor Address: 849 Moose Tracks Trl City Cedar Grove State: NC Zip: 27231 Department: Economic
Development/Vistors Bureau Amount: $4,176 Purpose: Build Corner Counter in Visitors Bureau for Touch Screen
Monitor Budget Code(s): 37600520-570000 Vendor# 63556 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date March 6, 2017
Approved by Board Yes❑No Agenda Date:
This agreement is approved as to techn lAn rn �:nd content:
Department Director's Signaturc $44461 Date: 3/8/2017
37BD4EFAC1 BE410...
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:
c DocuSigned""by:
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Office of the Risk Management Officer ((USX �,Orv�16 Date:3/8/2017
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Financial Services
This instrument has been pre-audited in the DocuSigned by manner required by the Local Government Budget and Fiscal Control Act:
:
Office of the Chief Financial Officer (214 0../.h.... Date: 3/16/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to lal form and sufficiency:
DocuSigned by:�,,L,
Office of the County Attorney
it)("A• KhleV/6 Date: 3/17/2017
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 2/17 5