HomeMy WebLinkAboutR 2019-335 AMS - BIRS Whitted Roof DocuSign Envelope ID: B83FADFB-AC4E-42A8-B4DC-14D962AB9A4B
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: BIBS, 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: $757.49
Purpose: Whiffed B Roof Repair 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 06/14/2019 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 initiated prior to execution of the agreement:
DocuSigned by:
Department Director's Signature FgL'q& 06MNA, Date: 6/13/2019
Agreements for emergency services or repair are not su ject to t e 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 Whitted B Facility.
Information TechnoloLyies
(Applicable only to har&vare/softivare 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 insu &,W�,dmno.sspecifications,and requirements:
Office of the Risk Management Officer 9US& C,bV1n 16 Date: 6/13/2019
Financial Services
This instrument has been pre-audited in the manne m4,byt4he Local Government Budget and Fiscal Control Act:
rq �a din 6/13/2019
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal �s�O�w
form � y:
^^alu�,R� / /
Office of the County Attorney J s Date: 6 17 2019
6D e6bu
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov
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 12l18 4