Orange County NC Website
Browse       Search
DocuSign Envelope ID:891DF1DD-EFOF-4B48-A9F1-20077DB155EE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: First Fire Party/Vendor Contact Person: Christopher Register Contact Phone: 919-303-3000 <br /> Party/Vendor Address: PO Box 10594 City Raleigh State: NC Zip: 27605 Department: AMS Amount: <br /> $10,500.00 Purpose: Hillsborough Commons Fire System Upgrade Budget Code(s): 61370035-880000-30001 <br /> Vendor#65499 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one) <br /> New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> firs M�RI <br /> Department Director's Signature Date: 1/9/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of' """Wards,specifications,and requirements: <br /> 17�7M"9176800498 <br /> A, (hnulTb 1/9/2019 <br /> Office of the Risk Management Officer _ Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act; DocuSigned by: <br /> +� � <br /> Office of the Chief Financial Officer �� Date:1/9/2019 <br /> Legal Services <br /> This agreement is approved as to legal qm$W,9u(Fyciency: <br /> Office of the County Attorney �bL rbbtyfS Date:1/10/2019 <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 <br /> 8 <br />