R 2016-462-E AMS - Nelson Alarms, Inc. for upgrade system at CG Comm. Center

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DocuSign Envelope ID:AD429797-DE7F-427B-B28B-5BF443926C54 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Nelson Alarms,Inc Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336-685- 9049 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount: $1,306.13 Purpose: Upgrade system at Cedar Grove Comm Ctr Budget Code(s): 10240320-630000 Vendor# 39886 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New® Renewal ❑ Amendment ❑ Effective Date 08/15/2016 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical form Ek 61"by: Department Director's Signature y- Ao or, Date: 8/15/2016 9E880A46CF64498... Information Technolosies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: Docu5igned""by: ''11i1 Office of the Risk Management Officer Pausa, (,6rvu,�16 Date: 8/15/2016 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner regc�ui. d by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer I r, `�°'�" �°'v Date: 8/15/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by:,' ,, Office of the County Attorney �66, r6 v,�,t s Date:8/17/2016 EAAMKEDM8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 6/16 5