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DocuSign Envelope ID:00583176-E4FA-448B-88D4-42DFOFC2EC50 <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: 27416-6197 Department: AMS Amount:Not <br /> to exceed (Three Thousand Three Hundred Forty SEven Dollars and Forty Fogy Cent) $3347.44 Purpose: To repair <br /> roof leaks at Skills Development Center 501 West Franklin Street Budget Code(s): 10240320-570000 Vendor#57369 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date 07/01/2019 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 /> oocusigned by: 3/3/2020 <br /> Department Director's Signat Si�• 9MA Date: <br /> Agreements for emergency sere 2D❑9C❑ae81844C5... .subject 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: NA <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 insurance standards, specifications,and requirements: <br /> oocusignedby: 2/2 7/202 0 <br /> Office of the Risk Management Offic 1US& Cb_ b Date: <br /> 7FDCF9176900498... <br /> DS <br /> r Financial Services <br /> l/ This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial OM Cr <br /> q 4 � Date: <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to leual fern,and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attor , 6 f�, hVl v, Date: <br /> 4C5F3CDDF0694F8... <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 11/19 4 <br />