HomeMy WebLinkAboutR 2016-725 AMS - Hillsborough Plumbing Link break room DocuSign Envelope ID:81 EOFOE8-MCA-41345-8186-1 AE31842OD66
ORANGE COUNTY DEPARTMENT USE ONLY
Department
Party/Vendor Name: Hillsborough Plumbing Party/Vendor Contact Person: Robert S. McKee Contact Phone: 919
732-4506 Party/Vendor Address: 1020 Hwy 57 N. City Ilillsborouah State: NC Zip: 27278 Department: AMS
Amount: $7,560.00 Purpose: Link Bldg Break Sink Budget Code(s): 10240320-57000 Vendor# 58196 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renelval ❑
Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical f— an i enntf-nt'
Docu5igned by:
Department Director's Signature h# 7AO V''°" ._Date:4/2/2016
9E8CA40CF64498...
Information Technologies
(Applicable only to hardware/sof fare 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 insurance standards.specifications,and requirements:
Docu5igned by:
Office of the Risk Management Officer 1usx Cbi'1n.t, 6 Date: 4/3/2016
7FDCF9176SID0498...
Financial Services
This instrument has been pre-audited in - ovcu5igned av: -" °1e Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer .61.1111. Date: 4/4/2016
3❑4E5181ACC1479...
Legal_Services
This agreement is approved as to leg; oocuSigned by: cy:
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Office of the County Attorney 6Ln. K6� 'fS EAAM33E❑8A84o"5... bate: 4/5/2016
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion Q Dolloyd ct oran eg countync.goy
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 14/14 4