Orange County NC Website
DocuSign Envelope ID:5396B47A-057B-4633-B5CF-5BB5456DE2B9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Phoenix Fire Protection Party/Vendor Contact Person: Harry Farrell Contact Phone: 919-774- <br /> 3042 Party/Vendor Address: PO Box 2881 City Sandford State:NC Zip: 27331 Department: AMS Amount: 900.00 <br /> Purpose: Sprinkler Inspections Budget Code(s): 10240320-630000 Vendor#60476 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective <br /> Date 1/3/2019 Approved by Board Yes❑Nor-1 Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Fmv& pbV1alA.ln. 1/4/2019 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <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 of79�!"_ <br /> ' m CbV'In,t,{fb o cusdards,specifications,and requirements: <br /> Office of the Risk Management Officer Date:1/4/2019 <br /> Financial Services <br /> This instrument has been pre-audited in them 2'gMfV1'by the Local Government Budget and Fiscal Control Act: <br /> lq.ta 0 1/4/2019 <br /> Office of the Chief Financial Officer Al Date: <br /> Legal Services <br /> This agreement is approved as to legal forPFAAAn <br /> R Wu��ncy: <br /> Office of the County Attorney 'RIMRAR4Rri Date: 1/8/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 Date: <br /> Revised 12/18 4 <br />