HomeMy WebLinkAboutR 2019-796 AMS - BIRS Inc. Whitted roof leak repair DocuSign Envelope ID:383DO690-611C-4187-A8135-895133668D42
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: BIRS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060
Party/Vendor Address: PO Box 36197 City Greensboro State: NC Zip: 27416 Department: AMS Amount: $696.50
Purpose: Whitted B Roof Leak Budget Code(s): 10240320-570000 Vendor#57369 (N/A if new vendor) Vendor is
a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective
Date 10/30/2019 Approved by Board Yes❑Nor-1 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 Siw• kmh Date: 10/24/2019
2DD9CD6e81844C5.
Agreements for emergency services or repair are not sunject 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: Per Paul Sorrell-All roof leaks are considered an emergency.Roof leaks allow water intrusion into a facility.
This water can cause damage to interior items to include: computers,carpet,flooring,walls ETC.Water intrusion is the
main cause for mold,mildew and poor air quality.
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 insuranc Docusigned by: itions,and requirements:
aUSX Cb 6 10/25/2019
Office of the Risk Management Officer Date:
7FDCF817E800498.
Financial Services
This instrument has been pre-audited in the manner'. DocuSigned'by:" r vernment Budget and Fiscal Control Act:
4 10/25/2019
Office of the Chief Financial Officer Date:
7NE5181ACCAN
Legal Services
This agreement is approved as to legal form CEAA3D3aED8AW5__
DocuSigned by:
6� K6k'6 10/25/2019
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