HomeMy WebLinkAboutR 2019-635 AMS - Carolina Earthscapes jail window repair DocuSign Envelope ID:72DE1801-F474-422B-A424-5E07EE3FFB3D
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Carolina Earthscapes Party/Vendor Contact Person: David Fletcher Contact Phone: 919-730-
5373 Party/Vendor Address: 1841 North HWY 119 City Mebane State: NC Zip: 27302 Department: AMS
Amount: $9,150.00 Purpose: Jail Window Budget Code(s): 10240320-570000 Vendor # 63117 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date 9/23/2019 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 sruw- kmA Date:9/10/2019
2Do9coaes,a44c5.
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 insurQ�ts�' 5�6 DocuSd by: ' ications,and requirements:
Office of the Risk Management Officer 7FDC F91 76800498. Date:9/13/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer A Date:9/16/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form an DocuSigned by:
Office of the County Attorney 6LW Pkk l 5 Date:9/16/2019
.
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
8