HomeMy WebLinkAboutR 2018-600 AMS - Sparrow and Sons Whitted sewer repair DocuSign Envelope ID:95724FC4-3213-43D4-8D2C-2A793885F3F8
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Sparrow& Sans, Inc Party/Vendor Contact Person: Jonathan Sparrow Contact Phone: 919-942-
5171 Party/Vendor Address: 305 Weaver St City Carrboro State: Ne Zip: 27510 Department: AMS Amount:
692.37 Purpose: WHSC Sewer Repair Budget Code(s): 10240320-570000 Vendor# 22599 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑
Effective Date 4/3/2018 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technic ` _oocusigned by:
Department Director's Signature `�6/ 74o j — Date:5/16/2018
9E88CA46CF64498... — -
Information Technologies
(Applicable only to hardivare/software pu rchases 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 c "pacusigned by:_A'.3 specifications,and requirements:
[,USX ('bV1n.t 6 5/16/2018
Office of the Risk Management Officer Date:
7FOCF9176800498... -"
Financial Services
This instrument has been pre-audited in the man Docusigned by: Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 5/16/2018
7D4E5981ACC14C9_.
Legal Services
This agreement is approved as to legal Docusigned by: Y:
Office of the County Attorney f_7�itc.5/16/2018
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll @orangccountypc.goy
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 10/17 5