HomeMy WebLinkAboutR 2019-145 AMS - BIRS Skills Development Center roof DocuSign Envelope ID:C3BC20BE-4177-4E09-B25F-8E12C5916446
GRANGE COUNTY-DEPARTMENT USE ONLY
PartyNendor Name: BIRS, Inc PartyNendor Contact Person: Mike McClure Contact Phone: 336-574-3060
PartyNendor Address:PO Box 36197 City Greensboro State:NC ;Gip:27416 Department: AMS Amount: $1351.05
Purpose: Skills Roof Budget Code(s): 10240320-570000 Vendor#57369 (NIA if new vendor) Vendor is a BOCC
consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date 2/26/19
Approved by Board Yes❑Non 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 iiiitiated prior to execution of the agreement:
DocuSigned by:
Department Director's Signature Qom. PbV*� Date: 3/5/2019
Agreements for emergency services or repair are not su ject 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 roof leak repair for Skills.
Information Technologies
(Applicahle only to hardwarelrofnvar•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 of itI
DocuSigned by: eclficatlons,and requirements:
US66 (,bV1n.t,{�6 3/5/2019
Office of the Risk Management Officer 7FDCF917e800498. Date: _
Financial Services
This instrument has been pre-audited in the DocuSigned by: ocal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 3/6/2019
7D4E51S1ACC1409.
Leval Services
This agreement is approved as to legal fC�6��
DocuSigned by:
Office of the County Attorney EAA=ED8A8 K6�t,V�S 405.. Date'3/6/2019
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 4