Orange County NC Website
DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Mobile Communications America Party/Vendor Contact Person: Bruce Williams(Brucewilliams(a),callmc.coir. <br /> 919.786.0891 Party/Vendor Address: 315 Kitty Hawk Drive City Morrisville State: NC Zip: 27560 Department: AMS/ES ) <br /> Purpose: Change order to decrease scope of work by remvoin,g the console removal Budget Code(s): 61370035-880000-10068 Ven( <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ® Amendment [ <br /> 5/7/19 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> PSignature ]iva�� fvts 5/8/2019 <br /> Department Directors [sIX Date: <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and <br /> t,pbnx� <br /> Office of the Asset Management Director[,IX Date: 5/9/2019 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office QGs� �a��#f° Date: 5/9/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PL <br /> Office of the Chief Financial Office "` Date:5/9/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �' wf s Date:5/10/2019 <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 10/17 <br />