HomeMy WebLinkAbout2024-509-E-Housing Dept-Revis Construction-ESFR23Docusign Envelope ID: A2A9139D-0441-4AC8-B312-AED6D719E2FA
Docusign Envelope ID: A2A9139D-0441-4AC8-B312-AED6D719E2FA
Docusign Envelope ID: A2A9139D-0441-4AC8-B312-AED6D719E2FA
Docusign Envelope ID: A2A9139D-0441-4AC8-B312-AED6D719E2FA
Docusign Envelope ID: A2A9139D-0441-4AC8-B312-AED6D719E2FA
8/29/2024
Revised 04/23
1
ORANGE COUNTY—INTERNAL USE ONLY
______________________________________________________________________________
Finance Information
Vendor Name: Revis Construction Vendor Contact Person: Jeff Revis Phone: (336) 260-4290 Address: 3431
Union Ridge Rd. City Burlington State: NC Zip: 27217 Department: Housing Amount: $33,300
Purpose: ESFR23 Budget Code(s): 32471120-782003-47460 Vendor # 67181
Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No
Contract Details
Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment )
Effective Date 8/21/2024 End Date Notice Date (Notice Purpose )
Award
Approved by Board (Agenda Date: ); Made or Administered by
Signature Authority
- BOCC Express Delegation (Agenda Date: )
- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000
- Budget Policy Section XV (Capital Improvement Project: )
Bidding
Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# )
Department Affirmation
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.
Services related to this agreement have already begun or been completed. Description of the nature of the
emergency condition that was addressed:
Department Director’s Signature ________________________________________ Date: ________
Information Technologies
This agreement has been reviewed and is approved as to information technology content and specifications:
Office of the Chief Information Officer___________________________________ Date: ________
Inapplicable because no hardware/software purchases or related services
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Received for record retention:
Office of the Clerk to the Board __________________________________________Date:_________
Docusign Envelope ID: A2A9139D-0441-4AC8-B312-AED6D719E2FA
8/23/2024
8/26/2024
8/29/2024
8/29/2024
Docusign Envelope ID: A2A9139D-0441-4AC8-B312-AED6D719E2FA