R 2016-733 AMS - AXis Construction DSS painting

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DocuSign Envelope ID: 10642261-CBE7-4A85-A52B-E53079E564B7 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: AXis Construction Mana ement Inc Party/Vendor Contact Person: Anthony Branon Contact Phone: 91 400-5059 Party/Vendor Address: 105 Atkinson Ct City Apex State:NC zip: 27502 Department:AMS Amount: $11,287.50 Purpose: DSS Painting Budget Codes): 10400130-803000 Vendor ## 62799 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ Nv❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 6/20/16 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical form and content: DOCUSigned by: Department Director's Signature /Y ? Date: 6/23/2016 9E880A45CF64498... Information Technologies (Applicable only to hardivarelrofhvare 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~` oocusigned by`°°"'°"'is}specifications,and requirements: Quso. ('6i b Office of the Risk Management Officer Date: 6/23/2016 7FDCF017E800408... Financial Services This instrument has been pre-audited in t"--oo-c-usigned by: ' "e Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer_ 4I.Il/. Date: 6/27/2016 7D4E5181ACC1409... -— Legal Services This agreement is approved as to lr°_'r , -----enc pP UacuSign-- -ed by:- y: Office of the County Attorney Z±A3D3aED8A8"5_._W P 45 Date: 6/28/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DoJLoyd@orangecounWqjj,.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 1/16 4