Orange County NC Website
DocuSign Envelope ID: 1419B9C3-F506-4E89-97DF-2DDA12ACE26F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Open Broadband LLC Party/Vendor Contact Person: Alan Fitzpatrick Contact Phone: 704- <br /> 293-7864 Party/Vendor Address: PO Box 723 City Waxhaw State:NC Zip: 28173 Department: IT Amount: <br /> Purpose: To allow access to Tower for antenna placement Budget Code(s): 61370035/897085/30007 Vendor# <br /> 65113 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No X Contract Type: (Check one)New X <br /> Renewal❑ Amendment ❑ Effective Date February 20,2019 Approved by Board Yes❑No X Agenda <br /> Date: <br /> This agreement is approved as to technical for DocuSigned by: <br /> Department Director's Signature 1C11&N)1E7aA64DF_. <br /> im 4� Date: 2/21/2019 <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 -"w -- <br /> on u5igned <br /> Office of the Chief Information Officer ik 4� Date: 2/21/2019 <br /> C11@A91E73A84DF.. <br /> Risk Management <br /> This agreement is approved for sufficiency of insi------Do-cus9-ne'd—y. b-�- -,ifications,and requirements: <br /> a <br /> Office of the Risk Management Officer Usa LQ Date: 2/21/2019 <br /> 7FDCF9178800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docu5igned by: <br /> Office of the Chief Financial Officer A 'L Date: 2/22/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal fort F�; <br /> u5igned by: <br /> Office of the County Attorney ls ` Date: 2/22/2019 <br /> 328DC4H549A4F5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran eg countync.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 />