R 2016-753 AMS - Harris Bros charging station

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DocuSign Envelope ID:3946EAOB-95B2-4D15-A709-9F4B732AC5E3 ORANGE COUNTY—DEPARTMENT USE ONLY Department _ Party/Vendor Name: HaiTis Bros. Electric 8c Controls, Inc Party/Vendor Contact Person: Calvin Harris Contact Phone: 919-220-8500 Party/Vendor Address:2712 Hillsborough St City Durham State:NC Zip:27705 Department: AMS Amount: $6.155.00 Purpose: Battery Charging Stations Budget Codes): 10.240320-57000.1 Vendor# 55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date 10/17/2016 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to to DocuSi�gyned by, Dnt: Department Director's Signature ,Date:1 18 2016 9E88CA48CF64498... - Information Technoiogies (applicable only to ha7•dwai-e/software pzrj•chases 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: DocuSigned by: Office of the Risk Management Office us& COVrn.t& Date: 10/19/2016 7FDCF9176800498... Financial Services This instrument has been pre-audited in the.,,a„r-ri„i—I h,l the Local Government Budget and Fiscal Control Act- DocuSigned by: Office of the Chief Financial Officer l� i� °" Date: 10/19/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to legal farm and sufficiency: DocuSigned by: l Office of the County Attorne , 6&)rt. K6�t kis Date: 10/19/2016 EAAM33ED&A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd tr orangecountynegov 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 6/16 5 f