HomeMy WebLinkAboutR 2017-719-E AMS - Mebane Air Dickson House HVAC DocuSign Envelope ID: B45C8196-4DA8-42AE-9309-8DBF33AFC945
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Mebane Air, Inc. Party/Vendor Contact Person: Timothy Braddy (mebaneair@,mebtel.net)
Contact Phone: 919.563.2093 Party/Vendor Address: 718 Mattress Factory Road City Mebane State: NC Zip:
27302 Department:AMS Amount: 9,447.10 Purpose:Replace the existing HVAC equipment at the Dickson House
due to existing equipment at end of life. Budget Code(s): 61370035-880000-30018 Vendor#40609 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 12/21/17 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: 12/18/2017
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 Directo Date:12/18/2017
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
a.
Office of the Risk Management Officer[G �O'��#f° Date:12/18/2017
Financial Services
Pz 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 1_4 Date:12/19/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney ��l�la�rf s Date: 12/19/2017
Cr-n-RA3 P.
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/17 6
DocuSign Envelope ID: B45C8196-4DA8-42AE-9309-8DBF33AFC945
Office of the Clerk to the Board Date:
Revised 10/17