HomeMy WebLinkAboutR 2019-473 AMS - Rices Glass Central Rec stairwell DocuSign Envelope ID:4FD8846F-39DA-44B5-8EF6-437A8F54875D
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Rice's Glass Company Party/Vendor Contact Person: Contact Phone: 919-967-9214
Party/Vendor Address: 107 Lloyd St City Carrboro State: NC Zip: 27510 Department: AMS Amount: $741.19
Purpose: Central Recreation Stairwell Glass Replacement Budget Code(s): 10240320-57000 Vendor# 104 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date 7/22/2019 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:
CA& P6V*aaA, 7/12/2019
Department Director's Signature 21 EF373ACD454EF.. Date:
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 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 11 DocuSigned by: )ecifications,and requirements:
�sa' �,oVln.��b
Office of1g7FDCF91768004M the Risk Management Officer . Date:7/15/2019
Financial Services
This instrument has been pre-audited in the manner DocuSigned by: — vernment Budget and Fiscal Control Act:
41 .&1w 7/15/2019
Office of the Chief Financial Officer Date:
7NE5181ACCAH
Legal Services
This agreement is approved as to legal DocuSigned by:
, 66A, K6kY S 7/16/2019
Office of the County Attorney EA43D33ED8A905.. 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:
Revised 12/18 4