R 2015-192-E AMS - Hillsborough Plumbing Co., Inc. for Gray Water System revisions at West Campus Office Bldg.

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DocuSign Envelope ID:031 EE8CF-2548-4833-814C-DACDBOOCF50B ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Hillsborough Plunjbir% Co-,-L.nc, Party/Vendor Contact Person: Robert McKee, VP Contact Phone: 1 99-732-4506 Party/Vendor Address: 1020 Hwy 57 N City HjilsLckrq Mi ........ — - h State: NC Zip: 27278 Department: Asset Management Services Amount: $JL400- Purpose: gray Water System Revisions at West Cana Sus Office Building Budget Code(s): 10240320 57000O Vendor 8 58196 (N/A if new vendor) Vendor is a BOCC consultant? Yes E] NoZ Contract`Type: (Check one)New Z Renewal r! Amendment n Effective Date................. Approved by Board Yes❑Nod Agenda Date: This agreement is approved as to technical fob%aj Lggptent: Department Director's Signature Date: 4/14/2015 9E880A46CF64498... Inforination Technologies (Applicable on�y to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Office Date: Risk Management This agreement is approved for sufficiency o requirements: Office of the Risk Management Officer- 7 Date: 4/15/2015 Financial Services This instrument has been pre-audited in the by the Local Government Budget and Fiscal Control Act., Office of the Chief Financial Officer Date: 4/21/2015 Ley-al Services This agreement is approved as to legal fo W Sffifijioiwlcy: Office of the County Attorney h66,, otxfs Date: 4/21/2015 �-�EXA3t733E08""AS465'. - Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(Leorangecountync,gov The following signature block is for hard copies only and is not required for Docusi 9 n contracts: Office of the Clerk to the Board Date: ............................................................................ ............. Revised 10114 4