Orange County NC Website
DocuSign Envelope ID:ADECABE9-2675-4A6F-9AD9-49D5748BA36D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Harris Bros. Electric & Controls, Inc. Party/Vendor Contact Person: Calvin Harris <br /> Calvinharris@msn.co Contact Phone: 919.220.8500 Party/Vendor Address: 2712 Hillsborough Road City Durham <br /> State:NC Zip: 27705 Department: AMS Amount: 770.10 Purpose: Install Ground Wire Budget Code(s): 61370035- <br /> 880000-10025 Vendor#55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 06/08/16 Approved by Board Yes❑ No® <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Us <br /> Q� <br /> Department Director's Signature Date: <br /> Information Technologies <br /> (Applicable only to hardware/softtivare 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 /> U S9 dby <br /> Office of the Risk Management Office QUsa C,6"'` b Date: 6/8/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ­­­d by <br /> Office of the Chief Financial Office ran�,Erta Date: <br /> 7/21/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney e9�ohwts Date: 7/22/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@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 6/16 4 <br />