Orange County NC Website
DocuSign Envelope ID:67835F96-OD2E-4C6F-9OA5-F850121 B91 CF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nelson Alarms, Inc. Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336- <br /> 685-0949 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount: <br /> 52115 Purpose: install Burglar system for panic devices in 106 E Margaret Lane Budget Code(s): 10240320-570000 <br /> Vendor# 39886 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technic n�i A p�rtent: <br /> Department Director's Signature Date: 9/13/2015 <br /> 0A46CF64498... <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 sufficiencr�Fs.,&FS+76 uog&''"_s�a'�n�1dards,specifications,and requirements: <br /> . rbvvu 6 9/16/2015 <br /> Office of the Risk Management Officer Date: <br /> 600498... <br /> Financial Services <br /> This instrument has been pre-audited in th ,,jQalWred by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer pa ( ow Date: 9/16/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal Office fo d r6b <br /> �,fa�i�ncy: <br /> �D((: t YfS 9/16/2015 <br /> Oce of the County Attorney Date: <br /> "Pr 8;4846... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@or-angecountync.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 10/14 4 <br />