HomeMy WebLinkAboutR 2019-459 AMS - Brown Bros jail piping DocuSign Envelope ID:9BOABE7A-606F-4A95-858E-6C13A445B70B
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 Roxboro Rd City Roxboro State: NC Zip: 27704
Department: AMS Amount: $1009.58 Purpose: Jail Piping 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 7/1/2019 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 �� O6 ),40L Date: 7/12/2019
Agreements for emergency services or repair are not suojeci O ie aouve 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 call to Jail for water falling from ceiling. Piping section in old Jail leaking.
Information Technologies
(Applicable only to hardware/software 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 in; Docusigned by: -ciflcations,and requirements:
Musa. cb�6 7/15/2019
Office of the Risk Management Officer 7FDCF91769004M. Date:
Financial Services
This instrument has been pre-audited in the ma: Docusigned by: AGovernment Budget and Fiscal Control Act:
Office of the Chief Financial Officer � 411-,� Date.: 7/15/2019
7D4E5181 ACC 1400 -
Legal Services
This agreement is approved as to legal fc DocuSigned by:
b6A, K6kw'6 7/16/2019
Office of the County Attorney Date:
EAA3D33ED8AE4S5..
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