HomeMy WebLinkAboutR 2019-647 AMS - Carolina Restoration SDC water mitigation DocuSign Envelope ID: E3784150-6543-4F73-9335-68E9BB000372
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Carolina Restoration Services of North Carolina,Inc. Party/Vendor Contact Person: Phil Rhodes
Contact Phone: 919-469-1955 Party/Vendor Address: 3401 Gateway Centre Blvd. City Morrisville State: NC Zip:
27560 Department: AMS Amount: $2,088.45 Purpose: Skills and Development Water Mitigation Emergency Budget
Code(s): 10240320-570000 Vendor# 63827 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑
Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 9/30/2019 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:
Docu5igned by:
12DD9CD6B81844C5
� k iy 9/23/2019
Department Director's Signature D� Date:
Agreements for emergency services or repair are no D 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: Carolina Restoration called out for emergency water mitigation in offices 116& 117 due to HVAC system
leaking through ceiling.
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 insuro Qocusignea by: ications,and requirements:
QUSa �,DV1n.tr�b 9/23/2019
Office of the Risk Management Officer 7FDCF0176800408. Date:
Financial Services
This instrument has been pre-audited in the mans Docusigned by: Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:9/24/2019
7n4E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and -DocuSigned by:
66A, K6kW'6
Office of1 the County Attorney Date:9/24/2019
EAA3D33EDSAW5..
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