R 2016-483-E AMS - Image360 - North Raleigh for Library Kiosk Wrap

Browse Search

DocuSign Envelope ID:401AF540-6487-44CD-AB00-3691BB3FAD55 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Image360 - North Raleigh Party/Vendor Contact Person: Manish Dubal (manish@image360northralei hg com) Contact Phone: 919.307-4119 Party/Vendor Address: 8471 Garvey Drive, Ste 101 City Raleigh State: NC Zip:27616 Department: AMS Amount: 1479.80 Purpose: Library Kiosk Wrap Budget Code(s): 61370035--880000-1001.6 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No ® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date August 24,2016 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content: D 5 g d by: Department Director's Signature p Date: 8/22/2016 �9F88DATi TF6�i Information Technologies (Applicable only to hardware/sofAvare 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: 6( lL '1 6 D Sy dby: Office of the Risk Management Office► USA, Date: 8/22/2016 FoeFg+�deao i_a Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Docu Signed by: Office of the Chief Financial Officer �C. �° III° Date: 8/23/2016 Legal Services This agreement is approved as to legal form and sufficiency: D g dby: Office of the County Attorne 16L Date: 8/23/2016 r�asFnsnsa�.... Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg coun. nc.gov The following signature block is for hard copies only and is not required for Docusign conttacts: Office of the Clerk to the Board Date: Revised 6/16 5