R 2018-455 AMS -Signarama Passmore mobility

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DocuSign Envelope ID: C64A834C- 79DE- 4CE8- BD84- E1C4F13A54F6 ORANGE COUNTY - DEPARTMENT USE ONLY Department Party/Vendor Name: Sign arama Party/Vendor Contact Person: Stan Mallard (stangdesi,gnelementnc,com) Contact Phone: 919- 383 -3500 Party/Vendor Address: 3702 Hillsborough Rd Ste. 1 City Durham State: NC Zip: 27705 Department: AMS Amount: $1872.92 Purpose: Purchase and isntall mobility device signage to match existing si nnaaae installed at Seymore Budget Code(s): 61370035- 880000 -30001 Vendor # 36717 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/29/18 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature[ Asset Management Date: 5/30/2018 (Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services content and specifications: Office of the Asset Management Directo°"�°°` Risk Management Date: 5/30/2018 This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Office ,11 �°'" , Financial Services Date: 5/30/2018 T This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Pi' Act: Office of the Chief Financial Officer r�I'°N Date: 6/4/2018 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney �'�"" �l h Date: 6/5/2018 ��,,., :, Ewa: H Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollgorangecountync.gov 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 6 Date: