Orange County NC Website
DocuSign Envelope ID:92AA487D-BC6A-4DF1-9CAD-FE8563BFF887 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> . Department <br /> Party/Vendor Name: Duke Energy Party/Vendor Contact Person: Kivu Ellis Contact Phone: 919.687.3213 <br /> Party/Vendor Address: PO BOX 70515 City Charlotte State: NC Zip: 28272 Department: AMS Amount: <br /> $27,703.20 for a 10 year service agreement($2,770.32 annually) Purpose: Fairview Parkin site ite li ting as part of <br /> recent parking upgrades Budget Code(s): 10515020-650000 Vendor# 857123 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date N/A Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> ­­­d y 10/11/2016 <br /> Department Director's Signature ' Date: <br /> Information Technologies <br /> (Applicable only to hardware/softivare 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 59 dby: <br /> Office of the Risk Management Office QUsa(awuflo Date: 10/12/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> 111"11111d bl: <br /> Office of the Chief Financial Officer (-'I°N Date: 11/15/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney 966 9 Date: 11/15/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran eg countync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> i <br /> Revised 6/16 5 <br />