HomeMy WebLinkAboutR 2017-319-E AMS - Tibbens Construction to repair sagging sewer line at Animal Services DocuSign Envelope ID:8A89705C-498E-4AB2-AA97-D86209095601
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 Trl City Cedar Grove State: NC Zip:
27231 Department:AMS Amount: $35,592.00 Purpose: Repair sagging sewer line required by the Town of Chapel
Hill, this sewer line is a main line that supports 50% of the facility. The project is being funding using operation
funds. $10,000 was awarded on PO 1702475 using 2016-17 funds,the remaining$25,592 will be from the 2017-18
funds per the codes. Budget Code(s): 10240320-570000 Vendor # 63556 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective
Date July 10,2017 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 74-7°- Date: 7/11/2017
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
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fly paw 7/11/2017
Office of the Asset Management Directo Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
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Office of the Risk Management Office aGsa(01W-to Date: 7/12/2017
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Financial Services
rl "" This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
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Office of the Chief Financial Officer,1"P,Z°"�
" Date: 7/17/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorne )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
Revised 2/17 6