HomeMy WebLinkAboutR 2017-317-E AMS - Tibbens Construction to install protective cages around HVAC condensate drain lines in gym, etc. DocuSign Envelope ID:6EC4E1AF-9212-4BF4-ACB8-3C5C4BDEE3CD
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: 2118.35 Purpose: Install protective cages around the HVAC condensate drain
lines in the gym, install additional art rail in main hallway at front entrance Budget Code(s): 61370035-880000-
10016 Vendor # 63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type:
(Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/17/17 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 ,„ '"'°" Date: 7/11/2017
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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:
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Qlasa(01W-to 7/12/2017
Office of the Risk Management Office ,„c„,,68ee,,,g Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 7/17/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney )0� �otiwts Date: 7/17/2017
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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:
Revised 6/16 6
DocuSign Envelope ID:6EC4E1AF-9212-4BF4-ACB8-3C5C4BDEE3CD
Office of the Clerk to the Board Date:
Revised 6/16 7