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R 2018-695 AMS - BIRS SHSC roof
DocuSign Envelope ID:3E240EC7-E4F0-4989-8D50-D6C95F8F9E28 ORANGE COUNTY----DEPARTMENT USE ONLY Department Party/Vendor Name: SIRS, Inc PartyNendor Contact Person: Mike McClure Contact Phone: 336-574-3060 Party,Nendor Address:PO Box 36197 City Greensboro State:NC Zip:36197 Department:AMS Amount:$2445.63 Purpose: SFIS Roof Repair Budget Code(s): 10240320-570004 Vendor 4 57369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑Ala❑ Contract Type: (Check one)New❑ Renewal ❑ Amendment ❑ Effective Date 10/22/18 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical fi DocuSignedI by: Department Director's Signature 740 Ov Date: 10/26/2018 9E38CA40CF64498... Information Technologic (Applicable only do hard ware/s©f1ware 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 sufficiency of insi Docusigned by: :ifications,and requirements: 17FDCF917e800498 uso. �,41^ln.t{ 6 10/26/2018 Office of the Risk Management Officer ... Date: Financial Services This instrument has been pre-audited in th( DocuSigned by: Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer date: 10/26/2018 704E5981ACC1469... Legal Services This agreement is approved as to legal fc DocuSigned by: lfs LJJU Office of the County AttorneyD � Date 10/26/2018 1EAA3D3aED8AW5 Cleric to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll(7a,.or-an eg corrntync.gov The fallowing 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(Mgrappry A 6/18) 4