HomeMy WebLinkAboutR 2018-727 AMS - CSR refrigerator LLC PFAP freezer installationRevised 10/17 6
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: CSR, LLC Party/Vendor Contact Person: Brad Crain (bkcrain@gmail.com) Contact Phone:
919-241-4082 Party/Vendor Address: PO Box 13377 City RTP State: NC Zip: 27709 Department: AMS/PFAP
Amount: $19,887.50 Purpose: Mechanical installation of (2) freezeres and provide specifications for the freezers.
Budget Code(s): 30600030 800000 71370 Vendor # 65293 (N/A if new vendor) Vendor is a BOCC consultant?
Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 9/25/2018
Approved by Board Yes No Agenda Date: May 15, 2018
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
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 Director__________________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
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 ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
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:_________
DocuSign Envelope ID: 82563161-0395-43B6-972A-055C2D70D933
10/2/2018
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