R 2017-358-E AMS - Tibbens Construction to remove tobacco barn on Homestead Rd.

Browse Search

DocuSign Envelope ID:A294293E-AA23-4447-A1 F5-367E795AB3D8 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 Trl City Cedar Grove State: NC Zip: 27231 Department: AMS Amount: NTE $5000 Purpose: Remove old tobacco barn located on Homestead Road and deliver Budget Code(s): 61370035-880000-10052 Vendor # 63556 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/8/14 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature L',// _ '_ Date: 8/1/2017 Asset Management (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications: o sy y: Office of the Asset Management Director 74°'""°" Date: 8/1/2017 Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: oos�yea ey: Qlisa(01W-to 8/1/2017 Office of the Risk Management Officer Date: Financial Services �� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: —m<s�yea ey: 8/1/2017 Office Office of the Chief Financial Officer Date:a,q Legal Services This agreement is approved as to legal form and sufficiency: �—oos�yea ey: ,)o1uA,roknts 8/1/2017 Office of the County Attorney, 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