Orange County NC Website
Browse       Search
DocuSign Envelope ID:3E240EC7-E4F0-4989-8D50-D6C95F8F9E28 <br /> ORANGE COUNTY----DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: SIRS, Inc PartyNendor Contact Person: Mike McClure Contact Phone: 336-574-3060 <br /> Party,Nendor Address:PO Box 36197 City Greensboro State:NC Zip:36197 Department:AMS Amount:$2445.63 <br /> Purpose: SFIS Roof Repair Budget Code(s): 10240320-570004 Vendor 4 57369 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑Ala❑ Contract Type: (Check one)New❑ Renewal ❑ Amendment ❑ Effective Date <br /> 10/22/18 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical fi DocuSignedI by: <br /> Department Director's Signature 740 Ov Date: 10/26/2018 <br /> 9E38CA40CF64498... <br /> Information Technologic <br /> (Applicable only do hard ware/s©f1ware purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management, <br /> This agreement is approved for sufficiency of insi Docusigned by: :ifications,and requirements: <br /> 17FDCF917e800498 uso. �,41^ln.t{ 6 10/26/2018 <br /> Office of the Risk Management Officer ... Date: <br /> Financial Services <br /> This instrument has been pre-audited in th( DocuSigned by: Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer date: <br /> 10/26/2018 <br /> 704E5981ACC1469... <br /> Legal Services <br /> This agreement is approved as to legal fc DocuSigned by: lfs <br /> LJJU Office of the County AttorneyD � Date 10/26/2018 <br /> 1EAA3D3aED8AW5 <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll(7a,.or-an eg corrntync.gov <br /> The fallowing signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the.Board Date: <br /> i <br /> Revised 10/17(Mgrappry A 6/18) <br /> 4 <br />