Orange County NC Website
DocuSign Envelope ID:621DO550-4FF3-4452-B5B4-OD12FBB7C2BB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Williams Scotsman, Inc. Party/Vendor Contact Person: Joel Lowman Contact Phone: 919- <br /> 884-1267 Party/Vendor Address: 901 South Bond Street, Suite 600 City Baltimore State: MD Zip: 21231 <br /> Department: AMS Amount: $8,658.00 Purpose: Mobile Office Trailer Budget Code(s): 61370035-880000-10068 <br /> Vendor#65441 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 3/11/2019 Approved by Board Yes❑ No❑ Agenda <br /> 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 /> Department Director's Signature �� 06V*0L Date: 3/14/2019 <br /> 27EF373ACD454EF.. <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 sufficienc— -riiocuSigued-by[`-"-'---ds,specifications,and requirements: <br /> 1 <br /> US66 L,Q�6 3/14/2019 <br /> Office of the Risk Management Officer Date: <br /> - 7F6CF9178800498. <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 /> Office of the Chief Financial Office Date: 3/15/2019 <br /> 7NE5181 ACC 1400 <br /> Legal Services <br /> This agreement is approved as tr 1---' r-���' Fricienc <br /> PP DocuSigned by: y <br /> Office of the County Attorney �bLW Pkk�s Datc: 3/15/2019 <br /> EAA3MaED8AW&- <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 /> 12 <br />