Orange County NC Website
Browse       Search
DocuSign Envelope ID:46FC46BA-F819-406B-AF59-D20F98748C88 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark Tibbens Contact Phone: 919-667- <br /> 5366 Party/Vendor Address: 849 Moose Tracks Trl City Cedar Grove State: NC Zip: 27231 Department: Economic <br /> Development/Vistors Bureau Amount: $4,176 Purpose: Build Corner Counter in Visitors Bureau for Touch Screen <br /> Monitor Budget Code(s): 37600520-570000 Vendor# 63556 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date March 6, 2017 <br /> Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to techn lAn rn �:nd content: <br /> Department Director's Signaturc $44461 Date: 3/8/2017 <br /> 37BD4EFAC1 BE410... <br /> Information Technologies <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 /> c DocuSigned""by: <br /> ''111i <br /> Office of the Risk Management Officer ((USX �,Orv�16 Date:3/8/2017 <br /> ' 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the DocuSigned by manner required by the Local Government Budget and Fiscal Control Act: <br /> : <br /> Office of the Chief Financial Officer (214 0../.h.... Date: 3/16/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to lal form and sufficiency: <br /> DocuSigned by:�,,L, <br /> Office of the County Attorney <br /> it)("A• KhleV/6 Date: 3/17/2017 <br /> `----EAA3 D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 5 <br />