R 2018-601 AMS - Tibbens construction Animal Services concrete

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DocuSign Envelope ID:9FEC6301-F398-45CF-9D09-3986A662D45C ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Tibbens Construction Party/Vendor Contact Person: Mark T'ibbens Contact Phone: 919 643.2856 Party/Vendor Address: 849 Moose Tracks Trl City Cedar Grove State: NC Zip:27231 Department: AMS Amount: $1651.90 Purpose: Animal Sery Concrete Budget Code(s): 10240320-570000 Vendor# 63556 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technic ' _Docusigne.d by: Department Director's Signature^ �rKl;."01L. Date:3/20/2018 9E88CA46CF64498.. — Asset Management (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications: DocuSigned by: Office of the Asset Management Director 7Ao--r"s,, Date.3/20/2018 DE88CA46CF64408... Risk_Managcmenf This agreement is approved for sufficiency^ `oocu5igned by:'"`'A s,specifications,and requirements: 116L �b Office of the Risk Management Officer Bate:3/20/2018 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer 0"z"� Date:3/20/2018 7D4E5181ACC1469. Legal Services This agreement is approved as to li 'Doc,&igned;y: — 'envy: Office of the County Attorney_ �61LW KkA Date:3/20/2018 EAA3MaEDSA84& Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: simizrsoll@orangecountmc.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board _ _ Date: I Revised 10/17 6