Orange County NC Website
DocuSign Envelope ID:AEE43C90-CC92-4D5D-A539-7CAD61B8867F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: BIRS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: (336) 207-1942 <br /> Party/Vendor Address: P.O Box 36197 City Greensboro State: NC Zip: 27416 Department: AMS Amount: <br /> $10,875.00 Purpose: Courthouse Roof Upgrade Budget Code(s): 10240320-57000 Vendor # 57369 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signatur c 714o �on Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''��.�.. <br /> Office of the Risk Management Officer 5&a, rbrv�c,116 Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer r�AU� bin Date: <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal foam end 1Yficiency: <br /> ocu igne <br /> Office of the County Attorney Jb �b��vl' Date: <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> I <br /> Revised 10/14 4 <br />