Orange County NC Website
DocuSign Envelope ID:5F4478A8-0CA6-4CAC-86F9-CE35131CD734 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Baker Roofing Party/Vendor Contact Person: Dylan Baker Contact Phone:919.828.2975 Par@Vendor Address:517 Mercury <br /> Street City Raleigh State:NC Zip:27603 Department:AMS Amount:521.00 Purpose:Additional railing required to be installed to extend 30"from <br /> the roof hatch opening per code requirements. Budget Code(s):61370035-880000-30002 Vendor#56403 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No Contract Type: (Check one)New❑ Renewal ❑ Amendment ® Effective Date 7/17/17 Approved by Board Yes <br /> No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature,P4r7,7, Date: 7/12/2017 <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications: <br /> Office of the Asset Management Director,S `"7 Date: 7/12/2017 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> QGias(,6rIAA.{lo 7/12/2017 <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 Act: <br /> Office of the Chief Financial Officer "`" "" Date: 7/17/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney, Knot Date: 7/17/2017 <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 <br />