R 2015-392-E AMS - AXis Construction Management, Inc. for DSS expansion

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DocuSign Envelope ID:563913F3-001 E-4251 A6138-25471`7251`61`2 ORANGE COUNTY-DEPARTMENT USE ONLY ................ ................. ..................................................................... Department Party/Vendor Name: AXis Construction Management. Inc. Party/Vendor Contact Person: Tony Branon Contact Phone: 919-400-5059 Part y/Vendor Address: 105 Atkinson Court City A State: NC Zip: 27502 Department: A S Amount: ❑27,075.04 Put-pose: [ASS Expansion Budget Code(s): 104000130-803000 Vendor 4 62799 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract'Fype: (Check one) New Z Renewal ❑ Amendment F-I Effective Date 817/15 Approved by Board Yes❑ NoZ Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature , Date: 7/31/2015 Information Technologies (Apj)licable onl.y to hardwarelsqf1ware purchases or r elated services)-['his agreement has been reviewed and is approved as to infon-nation 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: DocuSigned by: Office of the Risk Management Officer_ Us& 66�6 Date:8/2/2015 ..........- ............... .......... ...... ........................... E97FDCF9176800498 Financial Services 'I"'his instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by, Office of the Chief Financial Officer A�, ["Obvu Date: 8/3/2015 E!23 2DFFC2CFA847B ......... ...... Legal Services This agreement is approved as to legal fort '5wMFTeqft;Cy: 8/4/2015 Office of the County Attorney___. 17� —Date. Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion(q-� [)L)ll(LNL i nLrjg��o 4 4k�L LgILvII". ,()y fhe following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Revised M14 5