Orange County NC Website
DocuSign Envelope ID:5F221640-OC6A-45CC-B6E3-598D286D5D34 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Rice's Glass Company Party/Vendor Contact Person: Wesley Quick(wesleyAricesglasscompM.com) <br /> Contact Phone: 919.967.9214 Party/Vendor Address: 107 Lloyd St. City Carrboro State: NC Zip: 27510 Department: <br /> AMS/Sportsplex Amount: $42,550.00 Purpose: Snortsplex - Repair/Replace Doors Budget Code(s): 54540030 800000 <br /> Vendor# 104 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal F Amendment ❑ Effective Date 12/28/2020 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 this <br /> project has not been initiated prior to execution of the agreement: <br /> D s'g g by: <br /> Department Director's Signature V­RMA Date: 1/4/2021 <br /> =zoogwsgeieaacs_. <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> D sg aby: <br /> Office of the Risk Management Office QUsa(mu{fe rag gl, Date: 1/4/2021 <br /> gg8g 8 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> P( D Sig—by: 1/5/2021 <br /> Office of the Chief Financial OfticerE_ �"" Date: <br /> ,DaEs,g.A <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D sg gby: <br /> Office of the County Attorney LJW hniw Date: <br /> 1/5/2021 <br /> aC5F3CDOF0H9IIF3.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 10 <br />