Orange County NC Website
DocuSign Envelope ID: B83FADFB-AC4E-42A8-B4DC-14D962AB9A4B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: BIBS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060 <br /> Party/Vendor Address: PO Box 36197 City Greensboro State: NC Zip: 27416 Department: AMS Amount: $757.49 <br /> Purpose: Whiffed B Roof Repair Budget Code(s): 10240320-570000 Vendor#57369 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective <br /> Date 06/14/2019 Approved by Board Yes❑Non 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 FgL'q& 06MNA, Date: 6/13/2019 <br /> Agreements for emergency services or repair are not su ject to t e 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: Emergency roof leak repair for Whitted B Facility. <br /> Information TechnoloLyies <br /> (Applicable only to har&vare/softivare 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 insu &,W�,dmno.sspecifications,and requirements: <br /> Office of the Risk Management Officer 9US& C,bV1n 16 Date: 6/13/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manne m4,byt4he Local Government Budget and Fiscal Control Act: <br /> rq �a din 6/13/2019 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal �s�O�w <br /> form � y: <br /> ^^alu�,R� / / <br /> Office of the County Attorney J s Date: 6 17 2019 <br /> 6D e6bu <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br /> orangecountync.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 12l18 4 <br />