R 2017-404-E AMS - Nelson Alarms, Inc. to install intruder alarm system

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DocuSign Envelope ID:20818283-1755-42D3-ACCB-4BOBFB3AFOD3 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Nelson Alarms, Inc. Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336- 685-0949 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount: $740.68 Purpose: Intruder alarm system install Budget Code(s): 10240320-630000 Vendor # 39886 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 08/14/2017 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature Date: Information Technologies (Applicable only to hardware/software 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: r---q-DocuSigned"by: 'll gust,. �,bvvt.C116 8/16/2017 Office of the Risk Management Officer Date: `'*• 7FDCF9176800498... DS Financial Services r 5. This instrument has been pre-audited in the a twaarod by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer 6/Q Dat 8/21/2017 7D4E5181ACC 1409... Legal Services This agreement is approved as to legal form and sufficiency: r---DocuSigned by: Office of the County Attorney joLvi, rolivts Date: 8/25/2017 �—EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 5