HomeMy WebLinkAboutR 2019-663 AMS - William Smith Masonry new courthouse replacement tile and brickwork repair DocuSign Envelope ID: F4540FC9-8C77-47A9-82AC-9AOE3D4B0000
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Williams E. Smith Masonry Party/Vendor Contact Person: Tiffany Bennett Contact Phone:
513-235-5733 Party/Vendor Address: 1818 Marions Ford Road City Chapel Hill State: NC Zip: 27516
Department: New Courthouse Amount: $5200.00 Purpose: Replace damaged tiles and secure 3 lower handrails on
the lower landing at the front entrance to the New Courthouse. Repairing the brickwork on the edge of the lower
landing. All of this is to be done for safety measures. Budget Code(s): 10240320-570000 Vendor#65715 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑
Amendment ❑ Effective Date 09/18/2019 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 Signatu CSfuw_ 9MA Date:
Agreements for emergency service,., ?ooscD111B2 44c5_ abject 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: N/A
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management OM ,US66 ( �6 Date:
7FDCF9176900498.
Financial Services
DS
�L 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 Offic CC
41 " Date:
7NE5181ACC1409.
Legal Services
This agreement is approved as to legal fern,and sufficiency:
DocuSigned by:
Office of the County Attorney �66A, K6k'l5 Date:
EAA3D33ED8AW5..
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 5