HomeMy WebLinkAboutR 2019-599 AMS - Triangle Insulation WCOB roof pipe insulation DocuSign Envelope ID:CA5813A6-DA5B-48E2-BFD6-DF48954D5C75
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Triangle Insulation Services, Inc Party/Vendor Contact Person: Kevin Vaughan Contact
Phone: 919-682-4300 Party/Vendor Address: 903 E Trinity Ave Suite 104 City Durham State: NC Zip: 27704
Department: AMS Amount: $32,500.00 Purpose: WCOB insulation of chill water line Budget Code(s): 10240320-
570000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date 9/1/2019 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:
FDLocu-S-igned by:
AV,,ADepartment Director's Signature Date:8/28/2019
Agreements for emergency services or repair are not su j'ect 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:
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 insur stwi6__ ;""specifications,and requirements:
Q�tSa Cbvv�,t.l�b 8/29/2019
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
+� 8/30/2019
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and Aai�of r.d by.
^bl� lebtit vfs
/
Office of the County Attorney J Date: 9 3/2019
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
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