HomeMy WebLinkAboutR 2019-765 AMS - Seegars Fence boiler fence enclosure DocuSign Envelope ID: F2F9AD46-A8C2-4670-93E9-3ACCCBC6F498
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Seegars Fence Company Party/Vendor Contact Person: Jason Chamberlain Contact Phone: 919-
489-5303 Party/Vendor Address: P.O Box 61378 City Durham State: NC Zip: 27715 Department: AMS Amount:
1656.00 Purpose: Boiler Fence Budget Code(s): 10240320-570001 Vendor#41409 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective
Date Approved by Board Yes❑No❑ Agenda Date: 10/20/2019
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 12DD9CD6B81844C5
ip• 9MADate:10/16/2019
.
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 inQ---oocu5igned by�c --cifications,and requirements:
Office of the Risk Management Officer USA c6nu& Date: 10/17/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-audited in the manni Docusigned by: 3overnment Budget and Fiscal Control Act:
0" Date.10/17/2019
Office of the Chief Financial Officer
704E51S1ACC1409. -
Legal Services
This agreement is approved as to legal fUEAA=ED8MQ405..
Docusigned by:
b6A, K6kGfS 10/17/2019
Office of the County Attorney Date'
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