Orange County NC Website
DocuSign Envelope ID: CB1D9758-FE9A-4EEB-834D-199A3281BCOB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Gate Control Party/Vendor Contact Person: Andy Pease Contact Phone: 877-712-9034 <br /> Party/Vendor Address: 1413 Doc Nichols Rd. Suite A City Durham State: NC Zip: 27703 Department: DEAPR <br /> Amount: $1,650. Purpose: Automated Gate Controllers Budget Code(s): 61370035 880000 20041 Vendor # 64289 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes LI No Contract Type: (Check one)New ❑ Renewal <br /> ® Amendment ❑ Effective Date March 3,2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> p DocuSigned by: <br /> Department Director's Signature 1)A t, Sf al/ail, Date: <br /> --611CFA1D507A495... <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 /> r DocuSigned"by: <br /> '�.�. <br /> Office of the Risk Management Officer ausx r,bfr lrtd,{{*b Date: <br /> �---7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ,--DocuSigned by: <br /> Office of the Chief Financial Officer r14,1 0,44/06,-x-, C7? Date: <br /> ---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r ^DocuSigned by:,',�,�,, <br /> Office of the County Attorney ,16 Vbk-vl' Date: <br /> �^---EAA3D33ED8A8465... <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 5 <br />