R 2016-269-E AMS - Tibbens Constructions, Inc. for Whitted Rm. 210 renovations

Browse Search

DocuSign Envelope ID:44129BFF-56A5-4168-ACB7-14BC9CF1 E527 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Tibbens Construction, Inc. Party/Vendor Contact Person: Mark Tibbins Tibbensconst(2caol.com Contact Phone: 919.643.2856 Party/Vendor Address: 846 Moose Tracks Trl City Cedar Grove State: NC Zip: 27231 Department: AMS Amount: $2,300.00 Purpose: Whiffed Room 210 Renovations Budget Code(s): 10240320-570001 Vendor# 63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoE Contract Type: (Check one)New M Renewal ❑ Amendment El Effective Date Approved by Board YesE]NoE Agenda Date: This agreement is approved as to technical form and content: D.-S.g..d by: Department Director's Signature Date: 5/19/2016 Information Technologies (Applicable only to hardware/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: DSig..'by: USA, (h�6 5/19/2016 Office of the Risk Management Officer[�CS11.111111 Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DIIUSild by: Office of the Chief Financial Officer Date: 5/26/2016 Legal Services This agreement is approved as to legal form and sufficiency: DuS,g..d by. Office of the County Attorney )66 )bbuvfs Date: 5/27/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydaoranaccountvnc.2ov The following signature block is for hard copies only and is not required for Docusign contracts: Revised 1/16 5 You created this PDF from an application that is not licensed to print to novaPDF printer(http://www.novapdf.com)