HomeMy WebLinkAboutR 2020-265 AMS - William E Smith Masonry Courthouse steps DocuSign Envelope ID:275B3B05-B2FE-40DF-BB01-E20869774963
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: William E. Smith Masonry Inc. Party/Vendor Contact Person: Tiffany Smith Bennett
(tiffanygwilliamesmithmasonry.com) Contact Phone: 513.235.5733 Party/Vendor Address: 1818 Marion Ford Road
City Chapel Hill State: NC Zip: 27516 Department: AMS Amount: $1500.00 Purpose: New Court House - Safety
Issue - Repair the step nose that is loose and falling apart Budget Code(s): 61370035-880000-30001 Vendor# 65715
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date 4/20/2020 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:
Department Director's Signature Date: 4/17/2020
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: N/A
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:
Office of the Risk Management Office Ksx bml f° Date: 4/17/2020
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
PL Office of the Chief Financial Officer Date: 4/20/2020
Legal Services
This agreement is approved as to legal form and sufficiency:
4/21/2020
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 11/19 4