HomeMy WebLinkAboutR 2017-276-E AMS - Roof Control Services of North Carolina, Inc. for waterproofing to stop water infiltration into DA Building DocuSign Envelope ID:05BAC521-A573-4502-9361-CAFO7F6BEC40
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Roof Control Services of North Carolina, Inc Party/Vendor Contact Person: Brian Burns
(bbums @roofcontrol.com) Contact Phone: 919.441.7668 Party/Vendor Address: 104 Rand Park Drive City Garner
State: NC Zip: 27529 Department: AMS Amount: 3,410.00 Purpose: Install waterproofing to the chimney and
existing wall of the District Attorney Building to stop water infiltration into the facility Budget Code(s): 61370035-
882000-30002 Vendor# 64465 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract
Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 30,2017 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 2 7 "'°" Date: 6/29/2017
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
o sg y
paw 6/29/2017
Office of the Asset Management Directo fl 2 y Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
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Office of the Risk Management Officer,_,, (01W-to Date: 7/3/2017
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
06 Act:
Office of the Chief Financial Officer '6°'" °" Date: 7/5/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
oos�gea ey:
o,)LA,roknts 7/7/2017
Office of the County Attorney Date:
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:
Revised 2/17 6