R 2016-222 AMS - Tibbens Construction, Inc. for fire alarm upgrades at Whitted Building

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DocuSign Envelope ID: 7BC3FCOB-88E2-479C-A2D3-D5EECBCD8130 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Tibbens Construction Inc/ Party/Vendor Contact Person: Mark Tibbens tibbensconst@aol.com Contact Phone: 919.643.2856 Party/Vendor Address: 846 Moose Tracks Trail City Cedar Grove State:NC Zip: 27231 Department: AMS Amount:NTE $5636.00 Purpose: Fire Alarm Upgrades Whiffed Budget Code(s): 81670035-88000-30001 Vendor# 63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/22/16 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content: ly Department Director's Signatures; ' Date: 4/20/2016 Information Technologies (Applicable only to hardivare/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 Officer Q("",�a ''`ft° Date: 4/21/2016 � o Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Conttol Act: Office of the Chief Financial Officer ,e Date: 4/21/2016 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney F20 �etiwfs Date: 4/22/2016 3o33�oaAS _ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg coup nagoy i The following signature block is for hard copies only and is not required for Docusign contracts: i r Revised 1/16 5