R 2016-725 AMS - Hillsborough Plumbing Link break room

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DocuSign Envelope ID:81 EOFOE8-MCA-41345-8186-1 AE31842OD66 ORANGE COUNTY DEPARTMENT USE ONLY Department Party/Vendor Name: Hillsborough Plumbing Party/Vendor Contact Person: Robert S. McKee Contact Phone: 919 732-4506 Party/Vendor Address: 1020 Hwy 57 N. City Ilillsborouah State: NC Zip: 27278 Department: AMS Amount: $7,560.00 Purpose: Link Bldg Break Sink Budget Code(s): 10240320-57000 Vendor# 58196 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renelval ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical f— an i enntf-nt' Docu5igned by: Department Director's Signature h# 7AO V''°" ._Date:4/2/2016 9E8CA40CF64498... Information Technologies (Applicable only to hardware/sof fare 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 sufficiency of insurance standards.specifications,and requirements: Docu5igned by: Office of the Risk Management Officer 1usx Cbi'1n.t, 6 Date: 4/3/2016 7FDCF9176SID0498... Financial Services This instrument has been pre-audited in - ovcu5igned av: -" °1e Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer .61.1111. Date: 4/4/2016 3❑4E5181ACC1479... Legal_Services This agreement is approved as to leg; oocuSigned by: cy: � Office of the County Attorney 6Ln. K6� 'fS EAAM33E❑8A84o"5... bate: 4/5/2016 Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion Q Dolloyd ct oran eg countync.goy 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 14/14 4