HomeMy WebLinkAboutR 2017-195-E Planning - Hillsborough Plumbing Company Inc. to install RPZ at Brookhollow pump station DocuSign Envelope ID:93098A2A-6990-46FE-8E24-D3170617D942
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Hillsborough Plumbing Company Inc. Party/Vendor Contact Person: Rob McKee Contact
Phone: 919-732-4506 Party/Vendor Address: 1020 Highway 57 N. City Hillsborough State: NC Zip: 27278
Department: Planning Amount: $4,575.00 Purpose: Install RPZ at Brookhollow Pump Station in the Efland Sewer
System Budget Code(s): 51360120-571000 Vendor#58196 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/17/2017
Approved by Board Yes No Agenda Date:
This agreement is approved as to techntidarggtond content:
Department Director's Signatur Ci0 6j1 Date:
846D1ODA3CFD4C2...
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:
DocuSigned""by: ��..
Office of the Risk Management Office ESA C,bvtAh Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Office 0ona,ZIm
a Date:
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to lenal form and sufficiency:
ocuSigned by:
Office of the County Attorne ib rblitXtS Date:
EAA3D33ED8A8465...
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