Orange County NC Website
Browse       Search
DocuSign Envelope ID:91A75344-B731-4B9F-B769-EF95999DBF3C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom, Inc. Party/Vendor Contact Person: Mike Bullock Contact Phone: 919.957.1949 <br /> Party/Vendor Address: 2902 S. Miami Blvd., Ste. C City Durham State: NC Zip: 27703 Department: Solid Waste <br /> Amount: $1,616.00 Purpose: Provide, Install and configure DVR and Camera Budget Code(s): 50350020-570000 <br /> Vendor#44533 (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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DaeuSigned by: <br /> Department Director's Signature rb�� wi�.�.Ak%S Date:7/23/2019 <br /> Agreements for emergency services 88E8sF843690496. ct 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 of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer aUsa cbb Date:7/24/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner rennired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer � '��'� Date:7/25/2019 <br /> 7NE5181 ACC 1400 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D"uSigned by: <br /> Office of the County Attorney gwku, f-A.Ytt, �S(b Date: 7/25/2019 <br /> 079A4D525C0F4FB. <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 />