HomeMy WebLinkAboutR 2018-794 AMS - Brown Bros OPT sewer DocuSign Envelope ID:7DA08667-E2B1-4977-9635-87E3B742D4AB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Brown Brothers Plumbing & Heating Co Inc Party/Vendor Contact Person: Jeff Addison
Contact Phone:919-220-2531 Party/Vendor Address:2820 Roxboro Rd-PO Box 15668 City Durham State:NC Zip:
27704 Department: AMS Amount: $697.95 Purpose: OPT Sewer Budget Code(s): 10240320-570000 "vendor l#
35M (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date 11/30/2018 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical f-----oocusgn-ea`6y:
Department Director's Signature �WA. P6V*aaA. Date: 12/5/2018
21 EF373ACD454EF...
Information Technologies
(Applicable only to hardwarelsoftwar•e 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 r]ocusignea by: specifications,and requirements:
Office of the RiskManagement Officer L,6L ('6�6 Date:12/5/2018
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the oocustgnea by:'' T.ocal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � A Iw Date: 12/7/2018
7D4E5181ACC14i39... — � -._-----
Legal Services
This agreement is approved as to legal UocuSigned iyy:'
�6� pkkis 12/7/2018
Office of the County Attorney hate:
EAA3D33ED8A84S5... __...._
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Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll a;orangccount,3ne,f?oy
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 6/18) 4