Orange County NC Website
DocuSign Envelope ID:62D5D1EC-B55B-43A6-AAB6-9B5B9CCE2973 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Parking and Entry Systems Party/Vendor Contact Person: Cameron Miller Contact <br /> Phone: 336-682-2768 PartyNendor Address: 931-B South Main St #138 City Kernersville State: NC Zip: 27284 <br /> Department: AMS Amount: $880.00 Purpose: Justice Security Gate Repair Budget Code(s): 10240320-57000 <br /> Vendor 0 64723 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ❑ Renewal ❑ Amendment ❑ Effective Date 11/27/2018 Approved by Board Yes❑ No❑ Agenda <br /> Date: <br /> This agreement is approved as to technical f1�' VbV*aan.DocuSigned by: <br /> Department Director's Signature Date; 11/29/2018 <br /> 21 EFMACD454EF... <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' D $a` (hKWA 6 Docusigned aY: ' pecifications,and requirements: <br /> �u <br /> Office of the Risk Management Offfcer�� Date:11/30/2018 <br /> 7FDCF817E800498... -- <br /> Financial Services <br /> This instrument has been pre-audited in the In. Docusigned by: - :al Government Budget and Fiscal Control Act: <br /> 11/30/2018 <br /> Office of the Chief 1Financial Officer Date: <br /> 17NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal f Docusigned by: <br /> K6� 12/3/2018 <br /> Office of the County Attorney EAAM33ED8A905... _ Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@or-angpcountyne,go_v <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 10/17(Mgr appry 5k 6/t8) 4 <br />