R 2016-398-E DEAPR - McQueen Construction, Inc. for Fairview parking expansion - 6-21-2016, Item 5-i

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DocuSign Envelope ID:2E5A8509-E4CD-4A45-9241-C69B05F6A27D ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: McQueen Construction, Inc. Party/Vendor Contact Person: Harvey McQueen Contact Phone: 919 617-0694 Party/Vendor Address: 619 Patrick Court City Bahama State: NC Zip: 27503 Department: DEAPR Amount: $339,000. Purpose: Fairview Parking Expansion Budget Code(s): 61370035 880000 20041 Vendor # 59479 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 18,2016 Approved by Board Yes®No❑ Agenda Date: June 21,2016 This agreement is approved as to technical form and content: DocuSignedd by: Department Director's Signature um- sfA.1'a Date: 611CFA1D507A495... Information Technologies (Applicable only to hardware/sofhaare 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: DocuSigned"by:'�.�. Office of the Risk Management Officer QuSa rbV t t t{{b Date: 7FDCF9176800498... Financial Services This 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 (' °n Date: 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: ocuSigned by: Office of the County Attorney. 56,6, r6ufs Date: EAAMKEDM8465... Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oranaecoimtync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 6/16 8