HomeMy WebLinkAboutR 2019-206 AMS - Brown Bros Plumbing repair jail drain DocuSign Envelope ID:C5CC0858-ED80-4C68-809F-7B6563044C72
ORANGE COUNTY--DEPARTMENT USE ONLY
Party/Vendor Name: Brown Brothers Plumbing& Heating Co.. INC. Party/Vendor Contact Person: Jeff Addison
Contact Phone: 919-220-2554 Party/Vendor Address: 2820 North Roxboro Rd City Durham State: NC Zip: 27704
Department:AMS Amount:$1000.00 Purpose: Jail Drain Line Emergency Emergengy Repair Budget Code(s): 10240320-570000
Vendor# 35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)
New❑ Renewal ❑ Amendment ❑ Effective Date 3/29/2019 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:
DocuSigned by:
Department Director's Signature F&Vu VbMNA, Date:3/28/2019
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Agreements for emergency services or repair are not subject to t..he 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:
Information Technologies
(Applicable only to hardwarelsoftware 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 ins g�� p_�3•s�specifications,and requirements:
Office of the Risk Management Officer Q�tSa v>�TIb Date: 3/28/2019
Financial Services
This instrument has been pre-audited in the manne>po�4u��ed ?y the Local Government Budget and Fiscal Control Act:
1 '�" '"` Date:
Office of the Chief Financial Officer _('
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Lcgal Services
This agreement is approved as to legal form and suff ®6�0igned by:
Office of the County Attorney Date: 4/4/2019
E�D33EDSAs4ss..-
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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