Orange County NC Website
DocuSign Envelope ID: 3318D9E2-B48D-40CD-8BOB-5952BB24E24B <br /> DocuSign Envelope ID:3318D9E2-B48D-40CD-8BOB-5952BB24E24B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> _._.m_ <br /> .............. ................. <br /> Department <br /> Parry/Vendor Name: Harris Bros, Electric & Controls, Inc Party/Vendor Contact Person: Calvin Harris Contact <br /> PI)one: 919.220,8500 Party/Vendor Address: 2712 1-TiMsbo <br /> Department� &tq �111-1 - -- _ A City Durham State: NC Zip: 27705 <br /> AmWnt: 888.79 Purpose: P , , d Gate Budget Code(s): 6137003-5-880000-10040 <br /> qAy�[ for Motoriz�Ld <br /> Vendor# 55­j 77 (N/A if new Vendor) Vendor is ki BOCC consultant? Yes ❑ NoZ Contract Type: (Check one) <br /> New M Renewal ❑ Amendimnt D Effective Date 9/104.1.6 Approved by Board Ycs❑NoN Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: <br /> Information Technoloeies <br /> (Applicable only to harchvarelso)hvarepurchases or related services)'Phis 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 /> ­­­d b': <br /> h <br /> Office of the Risk Management Office JE..".(1— flb— --­- Date: 9/9/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ­­ 9/9/2016 <br /> ­d by: <br /> Office of the Chief Financial Officer[H– Date: <br /> Leeal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ­­­d by <br /> Office of the County Attorney L16 ate: 9/9/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DoHoyd(a),oranocounlync.go <br /> The following signature block is for bard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board <br /> Revised 6/16 4 <br />