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DocuSign Envelope ID:7AE8A4FO-DD4C-48AF-9407-33164957C9A2 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Roof Control Services of NC, Inc. Party/Vendor Contact Person: Brian Burns <br /> (BBurns @roofcontrol.com) Contact Phone: 919-977-5318 Party/Vendor Address: 104 Rand Park Drive City <br /> Garner State: NC Zip: 27529 Department: AMS Amount: $8,670.00 Purpose: Parks Operations Base 6823 <br /> Millhouse Road-Repair shingle portion of roof,replace EPDM portion of roof Budget Code(s): 61370035-882000- <br /> 30002 Vendor # 64465 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/22/17 Approved by Board Yes❑ No <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> o sg y <br /> Department Director's Signatur eLt R oaF�«„aa'�'� Date: 5/9/2017 <br /> « <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> �—oo<s�gea oy: <br /> Office of the Asset Management Director Hi °"?'"°" Date: 5/9/2017 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> �—oo<s�gea ey: <br /> Qlisa(01W-to 5/10/2017 <br /> Office of the Risk Management Officer, Date: <br /> Financial Services <br /> of, This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer '6°'" °" Date: 5/15/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> oo<s�gea ey: <br /> ,)o1uA,roknts 5/16/2017 <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@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 2/17 6 <br />