R 2017-733-E AMS - Hillsborough Plumbing CGCC toilets

Browse Search

DocuSign Envelope ID:8FE8324A-1 D38-4527-981 D-AB69DEC1 ED82 ORANGE COUNTY—DEPARTMENT USE ONLY Department PartyNendor Name: Hillsborough Plumbing C0.,lNC Party/Vendor Contact Person: Robert S. McKee Contact Phone:919-732-4506 Party/Vendor Address: 1020 Hew i 57 N City Hillsborough State:NC Zip:27278 Department: AMS Amount: $3,345.50 Purpose: Cedar Grove Toilets Budget Code(s): 61370035-883000-10016 Vendor#58196 (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 tec' ' DocuSigned by: nt: Department Direettyr's Signature_ �'°°"Y�'°" Date: 6/6/2017 19E88CA46CF64498... Information TechnoloQics (Applicable only to har&varelsoftware purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficienc---aoc`ub gned 6y:``---'-rds,specifications,and requirements: aUSX �,bV1n.t 6 Office of the Risk Management Office Date: 6/6/2017 7FC?CF917E800498... Financial Services This instrument has been pre-audited in " DocuSigned by: '" the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer 01.414 Date: 6/7/2017 704E5181ACC1469... Legal Services This agreement is approved as to Uocusigned by: iency: �61LW KkA Office of the County Attorney_ EAAM33EMA84S5... Date: 6/7/2017 I Clerk to the Board i Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion cQ Dolloydftrangecounlync.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: Revised 2/17 5