HomeMy WebLinkAboutR 2017-733-E AMS - Hillsborough Plumbing CGCC toilets DocuSign Envelope ID:8FE8324A-1 D38-4527-981 D-AB69DEC1 ED82
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
PartyNendor Name: Hillsborough Plumbing C0.,lNC Party/Vendor Contact Person: Robert S. McKee Contact
Phone:919-732-4506 Party/Vendor Address: 1020 Hew i 57 N City Hillsborough State:NC Zip:27278 Department:
AMS Amount: $3,345.50 Purpose: Cedar Grove Toilets Budget Code(s): 61370035-883000-10016 Vendor#58196
(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 tec' ' DocuSigned by: nt:
Department Direettyr's Signature_ �'°°"Y�'°" Date: 6/6/2017
19E88CA46CF64498...
Information TechnoloQics
(Applicable only to har&varelsoftware 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 sufficienc---aoc`ub gned 6y:``---'-rds,specifications,and requirements:
aUSX �,bV1n.t 6
Office of the Risk Management Office Date: 6/6/2017
7FC?CF917E800498...
Financial Services
This instrument has been pre-audited in " DocuSigned by: '" the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 01.414 Date: 6/7/2017
704E5181ACC1469...
Legal Services
This agreement is approved as to Uocusigned by: iency:
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Office of the County Attorney_ EAAM33EMA84S5... Date: 6/7/2017
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Clerk to the Board
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Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion cQ Dolloydftrangecounlync.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 5