Orange County NC Website
Browse       Search
DocuSign Envelope ID:96B6106E-06EB-4C14-92AA-B8A2C24D51D9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark Tibbens (tibbensconst&aol com) <br /> Contact Phone: 919.667.5366 Party/Vendor Address: 849 Moose Tracks Trail City Cedar Grove State: NC Zip: <br /> 27231 Department: AMS Amount: $13,450.00 Purpose: Whitted Service Window & FACP Doors Budget DS <br /> Code(s): 61370035-892000-30012 Vendor#63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date December 5, 2016 l— <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical forth and content: <br /> D Sg tlby. <br /> Department Director's Signature "� Date: 12/1/2016 <br /> Information Technolosies <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 /> Do S g tlby. <br /> QUSOL (hw 6 12/2/2016 <br /> Office of the Risk Management Officer Date: <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 /> D Sg tlby <br /> Office of the Chief Financial Officer 4 n� Date: 12/2/2016 <br /> �r ESaaann:�s;:ss... <br /> Legal Services <br /> This agreement is approved as to legal forth and sufficiency: <br /> D S tl by: <br /> r6Nty{,,,6 <br /> Office of the County Attorney �� a Date: 12/2/2016 <br /> E B 3EB9,h946S.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.plc.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 6 <br />