HomeMy WebLinkAboutR 2017-649-E AMS - Alley, Williams, Carmen & King, Inc. for construction admin services for shower install at CGCC DocuSign Envelope ID:00D5239D-4390-42F1-AA3B-CB88F2EE7089
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Alley, Williams, Carmen & King, Inc. Party/Vendor Contact Person: Ken Stafford
ikstafford @awck.com) Contact Phone: 336.226.5534 Party/Vendor Address: 740 Chapel Hill Road City
Burlington State: NC Zip: 27216 Department: AMS Amount: $8,200.00 Purpose: Design, Bidding &
Construction Administration services for installation of shower at the Cedar Grove Community Center Budget
Code(s): 61370035-870000-10016 Vendor#64820 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/25/17 Approved by
Board Yes NoZ Agenda Date:
This agreement is approved as to technical form and content:
�--DocuSigned by:
Department Director's Signature 24 °p Date:10/24/2017
—.880A46C764498...
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:
D uSg tlby
Office of the Risk Management Office t'sa Cowuffa Date:10/24/2017
Financial Services
Da This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Vf Act:
r---DOsigea bv: 12/6/2017
Office of the Chief Financial Officer 1 Date:
—M.5181.0.09...
Legal Services
This agreement is approved as to legal form and sufficiency:
l---DocuSigned by:
Office of the County Attorney Date:12/7/2017
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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:
Office of the Clerk to the Board Date:
Revised 2/17
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