HomeMy WebLinkAboutR 2018-706 AMS - BIRS Passmore roof repair DocuSign Envelope ID:55117D09-2A8A-405C-AFED-179F6BC185EE
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: BIBS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060
Party/Vendor Address:PO Box 36197 City Greensboro State:NC Zip: 36197 Department:AMS Amount:$1,483.5 4
Purpose: Passmore Roof Repair Budget Codc(s): 10240320-570000 Vendor it 57369 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑No❑ 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 forma Docu5igned by:
,# 'L 10/26/2018
Department Director's Signature �scA4GCFG Date:
Information Technologies
(Applicable only to hai-d9varefrnftware pi4rchases 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 r` ~ �„sgned"by a"°'"�specifications,and requirements:
��tSa �bV�t.lb 10/26/2018
Office of the Risk Management Officer_ Date:
7FDCF917E800498...
Financial Services
This instrument has been pre-audited in the mans eocu5igned by: ' 'Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � Date:10/29/2018
7NE5181ACC14G9...
Legal Services
This agreement is approved as to legal for - -Do'cu i-ged tiyy: ---
Office of the County Attorney 36LW KkA Dale.:10/30/2018
EAAM33ED8AW5...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoilLa)orangecountync.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 10117(Mgr appry A 6118) 4