Orange County NC Website
DocuSign Envelope ID: 3312F4DA-F50C-44DA-9298-271ABA823577 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> ............ <br /> ........... <br /> Department <br /> Party/Vendor Name: Advanced Door Automation Party/Vendor Contact Person- flenry !��d Contact Phone: <br /> [�At ,_gq <br /> 919-384-0232 Party/Vendor Address: PO Box 61678 City Durham State: NC Zip: 27715 Department: Asset <br /> Man4g,g�,Ln it Services Amount: K_494 Purpose: Install Automatic Door Lquipment (d) 113 Mayo St Budget <br /> Code(s): 10400130-803000 Vendor# 57343 (N/A if new vendor) Vendor is a BOCC consultant'? Yes FjNoE1: <br /> ..........------ <br /> Conti-act Type: (Check one)New E Renewal [:] Amendment Ej Effective Date 08/21/2015 Approved by Board <br /> Yes F_I NoF1 Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature Date:...8/14/2015 <br /> fl'llulll <br /> Information Technollo2ie <br /> (Aplificable ony to hcit�thviirelvoftvtar(,,pzirt°li�is•e„ or related services)This agreement has been reviewed and is <br /> approved as to infon-nation 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 /> DocuSigned by: <br /> Office of the Risk Management Officer &0. (tVVAff6 Date: 8/17/2015 <br /> _127FDCF9176800498_ <br /> Financial Set-vices <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> cer I <br /> Office of the Chief Financial Offl Date: 8/17/2015 <br /> i <br /> LA <br /> -------------- <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form N&W10i0mvy: <br /> 'j <br /> Office of the County Attorney 'F�6 r6"S Date: 8/18/2015 <br /> essEDSAMaEr- -_ ­­­­­.....-­­---- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ it ty gq <br /> -k-1 �R _y <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 10/14 5 <br />