Orange County NC Website
DocuSign Envelope ID:693BO3F5-75D8-4B13-9FF9-25BE7951COCF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pickard Roofing Company, Inc Party/Vendor Contact Person: James E. Pickard III, <br /> j>m@pickardroofmg.com Contact Phone: 919.682.5702 Party/Vendor Address: 523 E. Trinity Ave City Durham <br /> State: NC Zip: 27702 Department: AMS Amount:NTE$15,858.00 Purpose: Historic Courthouse Roof& Gutter <br /> Repairs Budget Code(s): 61370035-882000-30002 Vendor# 63750 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June <br /> 10,2016 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> b <br /> Department Director's Signature �.#7A __ Date: 6/23/2016 <br /> Information TechnoloL7ies <br /> (Applicable only to hardware/sofrivare 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 /> I <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Uoc 59 dby: <br /> Office of the Risk Management Officer AUS0,(awuflo Date: 6/23/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Uoc 59 dby: <br /> Office of the Chief Financial Officer rq"-,�a Date: 6/23/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ­­­d Sig d by <br /> Office of the County Attorney P'6 doh " Date: 6/23/2016 <br /> �E.�s�9E�ne.Q, i <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign.contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecoll t c.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 1/16 5 <br />