R 2018-020 DEAPR - Nelson Alarms install panic button and alarm

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DocuSign Envelope ID: 11398E5B- 05D6- 49A1- AE1E- D9FC316A29A3 ORANGE COUNTY - DEPARTMENT USE ONLY Department Party/Vendor Name: Nelson Alarm's, Inc. Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336.498.2377 Party/Vendor Address: P.O. Box 10 City Randleman State: NC Zip: 27317 Department: DEAPR Amount: $575.00 Purpose: Provide and Install Panic Button and control panel Budget Code(s): 61370035 880000 Vendor # 39886 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date February 1, 2028 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature ryaw, Sfmtil Date: 611 C FA 1 D5WA495.. Information TechnoloEies (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 Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: DocuSigrned by: Office of the Risk Management Officer PUS& h > b Date: 7FDCF9176800498. Financial Services This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act: Doc u Sig ned by: Office of the Chief Financial Officer G 0 �1 611;11 Date: 7 D4 E5181 AC C 1409.. Legal Services This agreement is approved as to legal form and sufficiency: DJJocuSigned by: Office of the County Attorney 6Z, K6�ufS Date: EAA3 D33 E D8A8465. Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd{`a,oran ecoun c.ov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Revised 10/17 5 Date: