HomeMy WebLinkAboutR 2018-601 AMS - Tibbens construction Animal Services concrete DocuSign Envelope ID:9FEC6301-F398-45CF-9D09-3986A662D45C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark T'ibbens Contact Phone: 919
643.2856 Party/Vendor Address: 849 Moose Tracks Trl City Cedar Grove State: NC Zip:27231 Department:
AMS Amount: $1651.90 Purpose: Animal Sery Concrete Budget Code(s): 10240320-570000 Vendor# 63556
(NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑
Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technic ' _Docusigne.d by:
Department Director's Signature^ �rKl;."01L. Date:3/20/2018
9E88CA46CF64498.. —
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 7Ao--r"s,, Date.3/20/2018
DE88CA46CF64408...
Risk_Managcmenf
This agreement is approved for sufficiency^ `oocu5igned by:'"`'A s,specifications,and requirements:
116L �b
Office of the Risk Management Officer Bate:3/20/2018
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer 0"z"� Date:3/20/2018
7D4E5181ACC1469.
Legal Services
This agreement is approved as to li 'Doc,&igned;y: — 'envy:
Office of the County Attorney_ �61LW KkA Date:3/20/2018
EAA3MaEDSA84&
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: simizrsoll@orangecountmc.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:
I
Revised 10/17 6