Orange County NC Website
DocuSign Envelope ID: 74C988BF- 452A- 495E -A1 EA -E1 B597DB2FEC <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Intellicom. Inc. Party/Vendor Contact Person: Mike Bullock Contact Phone: 919 - 957 -1949 <br />Party/Vendor Address: 2902 S. Miami Blvd., Ste. C City Durham State: NC Zip: 27703 Department: Solid Waste <br />Amount: 19.823 Purpose: Provide and Install Cabling and install Cameras Budget Code(s): 50353020 - 571000 <br />Vendor # 44533 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br />New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No® Agenda Date: <br />This agreement is approved as to technical form and content: <br />ocuSigned by: <br />Department Director's Signature F_�IJO� Dray <br />25E5D8CA7B8941B <br />Information TechnoloEies <br />Date: 1/5/2018 <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigrned by: <br />Office of the Risk Management Officer PUS& h �b DatJ /5/2018 <br />7FDCF9176800498. <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 />DocuSigned by: <br />Office of the Chief Financial Officer r 0.1� Date: 1/23/2018 <br />7D4E5181ACC1409 . <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />DauSigned by: <br />Office of the County Attorney r dwku- L -Nch Date- 1 /23/2018 <br />079A4D525C0F4FB . <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 eco c.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 <br />Revised 10/17 <br />8 <br />Date: <br />