HomeMy WebLinkAboutR 2018-709 AMS - Hillsborough Plumbing Cedar Grove repair DocuSign Envelope ID:26463C8C-1673-4776-BEDE-B251C04B9900
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Hillsborough Plumbing Company Party/Vendor Contact Person: Shannon Roberts Contact
Phone: 919-732-4506 Party/Vendor Address: 1020 Hwy 57 N City Hillsborough State: NC Zip: 27278 Department:
AMS Amount: $4957.50 Purpose: Cedar Grove Septic Repair Budget Code{s): 1024U320-570000 Vendor#58196
(N/A if new vendor) Vendor is a BDCC consultant? Yes ❑No❑ Contract Type:(Check one)New ❑ Renewal
❑ Amendment ❑ Effective Date 10/22/18 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical for 1P9E88CA4,GCF64408 eocu5igned by:
V`�6 7AO V ,, 10/26/2018
Department Director's Signature .. Date:
Information Technologies
(Applicable only to hardivarelsoftware purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency or'°`ii cus�gnea`6y "'` specifications,and requirements:
Qusa (,bV1n.t 6 10/26/2018
Office of the Risk Management Officer Date:
3FDCF917E800438... _
I
Financial'Services
This instrument has been pre-audited in the ma eocu5igned ay: al Government Budget and Fiscal Control Act:
A . 10/29/2018 j
Office of the Chief Financial Officer Date:
7D4E5181ACC14i79...
Legal Services
This agreement is approved as to legal fora DocuSigned by:
Office of the County Attorney 6L W Ifs Date: 10/30/2018
EAMMaED8A&W5...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/17(Mgr appry 5k 611$) 4