HomeMy WebLinkAboutR 2019-332 AMS - Brown Bros Cedar Grove Bathhouse sewer DocuSign Envelope ID: 1152D302-3E2A-4168-95EB-7031BEAF5629
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Brown Brothers Plumbing & Heatinr7 Co-Inc Party/Vendor Contact Person: Jeff Addison
Contact Phone: 919-220-2554 Party/Vendor Address: 2820 N Roxboro Rd City Durham State: NC Zip: 27704
Department: AMS Amount: $7,738.00 Purpose: Cedar Grove Bath House Sewer Lime Replacement Budget
Code(s):61370035-883000-10016 Vendor#35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑
No❑ Contract Type:(Check one)New❑ Renewal ❑ Amendment ❑ Effective Date 6/20/2019 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 �W PbV*aan. Date: 6/10/2019
21EF373ACD454EF..
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:
Information Technologies
(Applicable only to hardwarelsoftware purchaser 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 in`""'oocusignea by: --cifications,and requirements:
Office of the Risk Management Officer &A C6Vln&6 Date:6/13/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer 7D4E51S1ACC1409 Date: 6/13/2019
.
Legal Services
This agreement is approved as to legal form Docusigned by:
Office of the County Attorney �b� K6 tG fs D,itc6/17/2019
El+A3DnED8AS405.. .........
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 Cleric to the Board Date:
Revised 12/18
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