R 2017-136-E AMS - Tibbens Construction to install door between new single occupancy restroom and locker room

Browse Search

DocuSign Envelope ID:6CBDC816-7157-47E6-991 B-C295A7AB3612 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark Tibbens (Tibbensconst @aol.com) Contact Phone: 919.667.5366 Party/Vendor Address: 849 Moose Tracks Trail City Cedar Grove State: NC Zip: 27231 Department: AMS Amount: $2.500.00 Purpose: Install door between new single occupancy restroom and the locker room to keep public from entering employee only space Budget Code(s): 61370035-880000-30001 Vendor#63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/10/17 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature �e�ao.a��sa,9o_:'"o Date: 4/4/2017 � Asset Management (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications: Office of the Asset Management Director Date: Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: �—oos�gea ey: Office of the Risk Management Officer aGsa(01W-to Date: 4/5/2017 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer rl'ta " Date: 4/11/2017 Legal Services This agreement is approved as to legal form and sufficiency: oos�gea ey: ,)o(un,roknts 4/12/2017 Office of the County Attorney,_ xooAagsr Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Revised 2/17 6