HomeMy WebLinkAboutR 2016-733 AMS - AXis Construction DSS painting DocuSign Envelope ID: 10642261-CBE7-4A85-A52B-E53079E564B7
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: AXis Construction Mana ement Inc Party/Vendor Contact Person: Anthony Branon Contact
Phone: 91 400-5059 Party/Vendor Address: 105 Atkinson Ct City Apex State:NC zip: 27502 Department:AMS
Amount: $11,287.50 Purpose: DSS Painting Budget Codes): 10400130-803000 Vendor ## 62799 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ Nv❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date 6/20/16 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
DOCUSigned by:
Department Director's Signature /Y ? Date: 6/23/2016
9E880A45CF64498...
Information Technologies
(Applicable only to hardivarelrofhvare 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~` oocusigned by`°°"'°"'is}specifications,and requirements:
Quso. ('6i b
Office of the Risk Management Officer Date: 6/23/2016
7FDCF017E800408...
Financial Services
This instrument has been pre-audited in t"--oo-c-usigned by: ' "e Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer_ 4I.Il/. Date: 6/27/2016
7D4E5181ACC1409... -—
Legal Services
This agreement is approved as to lr°_'r , -----enc
pP UacuSign-- -ed by:- y:
Office of the County Attorney Z±A3D3aED8A8"5_._W P 45 Date: 6/28/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DoJLoyd@orangecounWqjj,.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 1/16 4