Orange County NC Website
Browse       Search
DocuSign Envelope ID:383DO690-611C-4187-A8135-895133668D42 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: BIRS, 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: $696.50 <br /> Purpose: Whitted B Roof Leak Budget Code(s): 10240320-570000 Vendor#57369 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective <br /> Date 10/30/2019 Approved by Board Yes❑Nor-1 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 Siw• kmh Date: 10/24/2019 <br /> 2DD9CD6e81844C5. <br /> Agreements for emergency services or repair are not sunject to the 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: Per Paul Sorrell-All roof leaks are considered an emergency.Roof leaks allow water intrusion into a facility. <br /> This water can cause damage to interior items to include: computers,carpet,flooring,walls ETC.Water intrusion is the <br /> main cause for mold,mildew and poor air quality. <br /> Information Technologies <br /> (Applicable only to hardware/software 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 insuranc Docusigned by: itions,and requirements: <br /> aUSX Cb 6 10/25/2019 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF817E800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner'. DocuSigned'by:" r vernment Budget and Fiscal Control Act: <br /> 4 10/25/2019 <br /> Office of the Chief Financial Officer Date: <br /> 7NE5181ACCAN <br /> Legal Services <br /> This agreement is approved as to legal form CEAA3D3aED8AW5__ <br /> DocuSigned by: <br /> 6� K6k'6 10/25/2019 <br /> Office of the County Attorney Date: <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 /> 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 />