HomeMy WebLinkAboutR 2020-232 Solid Waste - Hammerstruck breakroom repair DocuSign Envelope ID:5C96407F-01C8-436B-9803-438A891DFC99
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Hammerstruck LLC Party/Vendor Contact Person: Garrett Paschall Contact Phone: 919-694-1001
Party/Vendor Address: 5100 Paschall Dr. City Durham State: NC Zip: 27705 Department: Solid Waste Amount: $3,980.00
Purpose: Repair of Breakroom at Landfill Budget Code(s): 50351020-570000 Vendor # 65676 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective
Date 3-16-2020 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:
DOCUSigneeld.44brryrr:
Department Director's Signature �0� WILLtA�IS Date: 3/25/2020
Agreements for emergency services or 8BEBSFs4369NW_.. 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:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
WcuSigned_by:
.
Office of the Risk Management Officer aUSX (D b Date:3/26/2020
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer � � � Date: 3/29/2020
704E5181ACC1409...
Legal Services
This agreement is approved as to legal fn,-m a„d q„ff,r;Pncy:
DocuSigned by:
Office of the County Attorney f, 6% , �t.Nl v, Date3/30/2020
4C5FXDDFOB94F6...
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 10