HomeMy WebLinkAboutR 2017-571-E AMS - BIRS, Inc. for A & B flashing repairs at Whitted Bldg. DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: BIRS, Inc Party/Vendor Contact Person: Levi Brocker (levi.broeker @yahoo.com) Contact
Phone: 336.574.3060 PartyNendor Address: 207 Robbins St. City Greensboro State: NC Zip: 27416 9[,S
Department: AMS Amount: 10,357.00 Purpose: Whitted Building A & B Flashing Repairs Budget Code(s):
61370035-882000-30002 Vendor# 57369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/23/17 Approved by Board
Yes' No Agenda Date:
This agreement is approved as to technical form and content:
Docusigned by:
Department Director's SignatureE °r °' Date: 10/15/2017
.880A460F64498...
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
�--DOCUSigned by:
Office of the Asset Management Director S' p°°" Date:10/15/2017
•-9F880A46(.F64498...
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
�DOOsgoea by:
Office of the Risk Management Officer a tsL(aka Date: 10/16/2017
�]FDCF91]6800498...
Financial Services
D6 This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
06'
Act:
i—DOCsigea by:
Office of the Chief Financial Officer (A-161 Date:10/17/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
�--DxuSignetl by:
Office of the County Attorney i"41°wts Date:10/18/2017
FAA3D33FD6A8465...
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