R 2019-387 AMS - William E Smith masonry for brick pavers

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DocuSign Envelope ID:8AD905B3-A95D-472C-BCB3-691DE2AEOEA8 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: William E. Smith Masonry Party/Vendor Contact Person: Tiffany Williams Contact Phone: 513.235.5733 Party/Vendor Address: 1818 Marion's Ford Road City Chapel Hill State: NC Zip: 27516 Department: AMS Amount: $28000 Purpose: Remove and Reset Brick for Safety and Accessibility Budget Code(s): 61370035-880000-30001 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 1,2019 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Q� }av�x�n 6/27/2019 Department Director's Signature[IX,�n� Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: Office of the Risk Management Office QGs" bn1t f° Date: 6/28/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control p� Act: oIXVslp Office of the Chief Financial Officer rI-N "' Date:6/30/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney �' ° Date: 7/1/2019 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 12/18 5