HomeMy WebLinkAboutR 2019-146 AMS - BIRS Board of Elections roof DocuSign Envelope ID:93D03012-FAF4-4641-AFE7-399DF48FAB9B
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: BIBS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060
PartyNendor Address: PO Box 36197 City Greensboro State:NC Zip:27416 Department: AMS Amount: $867.80
Purpose: BOE Roof Leaks Budget Code(s): 10240320-570000 Vendor# 57369 (N/A 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❑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:
DocuSigned by:
Department Director's Signature QW& PbiMM1i7U/l. Date; 3/5/2019
21EF373ACD454EF..
Agreements for emergency services or repair are not sunject to the anove 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 Whitted B Facility
Information Technolor-ics
(Applicable only to hardwar'elsoftware purchases or relater!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 inso-a"oocus gr�lar .0 coo ficattons,and requirements:
Office of the Risk Management Officer ��sa rtb Date: 3/5/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the mz---oocusigned ay "`L-it Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer '6 � Date;3/6/2019
7D4E5981ACC1409.
Legal Services
This agreement is approved as to le DocuSigned dy: cy:
,�b�t.Jn. �°b�C,YfS 3/6/2019
Office of the County Attorney EAA3D33ED8AW5.. 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:
I
Revised 12/18 4