Orange County NC Website
DocuSign Envelope ID: 1A7ABOC1-4543-4D35-BEC3-943C36543933 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Power Quality Solutions LLC Party/Vendor Contact Person: Steve Smith Contact Phone: 919- <br /> 455-8471 Party/Vendor Address: 8601 Six Forks Rd Suite 400 City Raleigh State: NC Zip: 27615 Department: <br /> Asset Management Services Amount: $6,796.00 Purpose: UPS Service Agreement Budget Code(s): 10240320- <br /> 630000 Vendor#55267 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check <br /> one) New ❑ Renewal ® Amendment ❑ Effective Date 08/10/2015 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical,�grjp,gan y ontent <br /> Department Director's Signature d 66 7L1 1t00111' Date: �7�p 7 y� <br /> 9E880A46CF64498... 8/18/2v15 <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 /> I—Ausa,DocuSigned""by:''� <br /> Office of the Risk Management Officer rbvvt,e,ttb Date: <br /> 7FDCF9176800498... 8/18/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ---�� "_ <br /> DocuSign ed by: <br /> Office of the Chief Financial Officer l� l,(.fbin, Date: <br /> 232DFFC2C FA847 B... 8/19/2n5 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Signed by: <br /> Office of the County Attorney 56Z, otx S Date: <br /> EAAMKEMA8465... 8/20/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d a,oran eg coun nc.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 />