HomeMy WebLinkAboutR 2019-613 Solid Waste - Rice Glass Company scalehouse DocuSign Envelope ID:8F96EDOD-E6B2-41 E8-A560-4BC381 EC1 DE6
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Rice's Glass Company Party/Vendor Contact Person: Mike Jones Contact Phone: 919-900-0095
Party/Vendor Address: 107 Lloyd St City Carrboro State: NC Zip: 27510 Department: Solid Waste Amount:
941.00 Purpose: Provide and install replacement window Budget Code(s): 50351020-570000 Vendor# 104 (N/A
if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 8-26-19 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:
DacuSigned by:
Department Director's Signature 9/9/2019
p g �6�� �l�,lA.++HS Date:
Agreements for emergency services 8BE66F843S90496. -ct 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 insurance standards, specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer �U56 (¢�,i 6 Date: 9/9/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the manner ren„iced by the r,ocal Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer .611.41 ° Date:9/9/2019
704E5981ACC1409.
Legal Services
This agreement is approved as to leeal form and sufficiencv:
DocuSigned by:
Office of the County Attorney § �
WVk t, -t�Sa Date 9/9/2019
079A4D525C0F4FB.
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