Orange County NC Website
DocuSign Envelope ID:9D0E55D2-31 BE-48C1-9BB1-231DB2485380 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pickard Roofing Company Inc Party/Vendor Contact Person: Frank Meunier(frank @pickardroofing.comm Contact Phone:919- <br /> 682-5702 Party/Vendor Address:823 East Trinity Ave City Durham State:NC Zip:27702 Department:AMS Amount:$33,881.25 Purpose:Repair <br /> deteriorated fascia and moulding boards under the roof gutters of the Historic Courthouse Budget Code(s):61370035-882000-30002 Vendor#63750 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective <br /> Date 3/15/17 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> ?z 3/11/2017 <br /> Department Director's Signature y07 0 9a gmp„w Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology <br /> 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 /> aGsa�ow�ffo 3/15/2017 <br /> Office of the Risk Management OfficeiL_ k Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 4/11/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �a ,Plow's 4/12/2017 <br /> Office of the County Attorney_ Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(corangecountync.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 6/16 <br />