HomeMy WebLinkAboutR 2018-004 AMS - BIRS Whitted Buildings A B Roof Flashing RepairsRevised 10/17 6
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: BIRS Party/Vendor Contact Person: Matthew French (matthew@birsroofing.com) Contact
Phone: 336.574.3060 Party/Vendor Address: 207 Robbins St City Greensboro State: NC Zip: 27416 Department:
AMS Amount: $3100.00 Purpose: Whitted Building A&B repair blisters on roofs to avoid potential cracks and
leaks 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
1/2/2018 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
Asset Management
(Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction
services content and specifications:
Office of the Asset Management Director__________________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ 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: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
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:
DocuSign Envelope ID: 35C3F1DF-FF21-4D08-9BF4-47BAE013F645
12/23/2017
12/23/2017
12/28/2017
1/2/2018
1/2/2018