HomeMy WebLinkAboutR 2020-191 AMS - BIRS Courthouse DocuSign Envelope ID:55FC71AC-8COB-4B77-97F2-3B9D568AE146
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: 27416-6197 Department: AMS Amount:Not
to exceed (One Thousand Four Hundred One Dollar and Seventy Cents) $1401.70 Purpose: Repair roof leak near
chimney at the Historic Courthouse (100 East King Street) 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 02/28/2020 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 Signa fwt �y� Date:3/4/2020
Agreements for emergency sen 2D❑9C❑6B81844C5... it 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: Any roof leaks are considered an emergency per Asset Management Services. Repair roof leak on tin roof
near chimneys at the Historic Courthouse(100 East King Street)Invoice#31641 BIRS Job#15-6408
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:
Wcu5igppned_by:
.�t
Office of the Risk Management OM aUsa LQ 6 Date:3/10/2020
DS 7FDCF9176900498...
Financial Services
This instrument has been pre-audited in the—nner rPn„irPd by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Offi `� � Date3/10/2020
7NE5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorn14C5F3CDDFOB94F6
6%f , �l.Vl v, Date: 3/10/2020
...
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 11/19 4