HomeMy WebLinkAboutR 2019-030 AMS - BIRS Battle Courtroom roof repair DocuSign Envelope ID:322293E0-C321-4064-8108-64E2EBBA433A
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: BIRS, Inc. Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060
Party/Vendor Address: PO Box 36197 City Greensboro State: NC Zip: 27416 Department: AMS Amount:
5267.48 Purpose: Battle Courtroom Roof Leak Budget Code(s): 61370035-882000-30002 Vendor#57369 (N/A
if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ❑
Amendment ❑ Effective Date 1/16/2019 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
1DocuSigned by:
Q6A. P6V*aIA, 1/21/2019
Department Director's Signature 21 EFMACD4s4EF.. Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed: Emergency repair declared by Orange County Risk Manager.
Information Technologies
(Applicable only to hardware/software 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 i oocusigned_ay:.�' pecifications,and requirements:
aUsa (,6Vln.t,{�6 1/22/2019
Office of the Risk Management Officer 7FDCF91 76800498. Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
o�.wa' . 1/23/2019
Office of the Chief Financial Officer lr7NE5181ACC1409. Date:
Legal Services
This agreement is approved as to leg DocuSigned by: �y:
, 66A, K6�C '6 1/23/2019
Office of the County Attorney EAMMaEDSAa4s5.. 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:
Revised 12/18
8