Orange County NC Website
DocuSign Envelope ID:975C55E3-32A8-4558-88D9-971BEEFF1AA3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: RN&M Engineers Party/Vendor Contact Person: Steve Kaufman (skaufman@rnm- <br /> engineers.com) Contact Phone: 828-492-0677 Party/Vendor Address: 94 Main Street City Canton State:NC Zip: <br /> 28716 Department: AMS Amount: $6.800.00 Purpose: Design Services for 911 Backup Center to be installed at <br /> West Campus Office Building Budget Code(s): 61370035-870000-30062 Vendor # 44863 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ <br /> Effective Date 1-30-17 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> r—DOCUSignetl by. <br /> Department Director's Signature, oFnRasFFaa� <br /> '� Date: 1/22/2017 <br /> Information Technologies <br /> (Applicable only to hardware/software 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 /> Q(isaCotiv {o 1/23/2017 <br /> Office of the Risk Management Officer Date: <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 /> r—DOCUSignetl by. <br /> A—eh— 1/24/2017 <br /> Office of the Chief Financial Officer � Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �—DOOsigetl by: <br /> ro1)(rts 1/25/2017 <br /> Office of the County Attorney�E3D33EDa�a465 Date: <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 <br /> 9 <br />