Orange County NC Website
Browse       Search
DocuSign Envelope ID:C5CC0858-ED80-4C68-809F-7B6563044C72 <br /> ORANGE COUNTY--DEPARTMENT USE ONLY <br /> Party/Vendor Name: Brown Brothers Plumbing& Heating Co.. INC. Party/Vendor Contact Person: Jeff Addison <br /> Contact Phone: 919-220-2554 Party/Vendor Address: 2820 North Roxboro Rd City Durham State: NC Zip: 27704 <br /> Department:AMS Amount:$1000.00 Purpose: Jail Drain Line Emergency Emergengy Repair Budget Code(s): 10240320-570000 <br /> Vendor# 35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one) <br /> New❑ Renewal ❑ Amendment ❑ Effective Date 3/29/2019 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature F&Vu VbMNA, Date:3/28/2019 <br /> D45#E�. <br /> Agreements for emergency services or repair are not subject to t..he above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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 ins g�� p_�3•s�specifications,and requirements: <br /> Office of the Risk Management Officer Q�tSa v>�TIb Date: 3/28/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manne>po�4u��ed ?y the Local Government Budget and Fiscal Control Act: <br /> 1 '�" '"` Date: <br /> Office of the Chief Financial Officer _(' <br /> L7NE5181ACC1409... <br /> Lcgal Services <br /> This agreement is approved as to legal form and suff ®6�0igned by: <br /> Office of the County Attorney Date: 4/4/2019 <br /> E�D33EDSAs4ss..- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 12/18 4 <br />