HomeMy WebLinkAboutR 2019-749 Solid Waste - Firebrand Pro, LLC. fire door inspection DocuSign Envelope ID: BDF3C7B6-01 FE-439B-B71 E-E7DC4694D3B7
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Firebrand Pro, LLC. Party/Vendor Contact Person: Mark H. Mitchell (owner). Contact Phone:
336-516-0908 Party/Vendor Address: 3348 Winston Drive City Burlington, State: NC Zip: 27215 Department:
Solid Waste Amount: $665.00 Purpose: Mandated Fire Door Inspection Budget Code(s): 50350020- 570000 Vendor
# 65764 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date October 15,2019 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Department Director's Signature �0�� w� A+HS Date:10/10/2019
0496.
Agreements for emergency services c.. r�..88E86F84369.., ,»,-,;t to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
a
DocuSigned
_by:
.
Office of the Risk Management Officer US66 LQ 6 Datc: 10/10/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer 411.4/� Date:10/11/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney 10/11/2019
�irt.�t.L ftA.YYf, �$Cb Date:
079A4D525COF4FB.
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