Orange County NC Website
DocuSign Envelope ID: BB740CE5-99D5-4D57-AAB6-79F67A9A3322 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Nelson Alarms Inc Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336-685- <br /> 0949 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount: 430 <br /> Purpose:upgrade/expand Animal Services burglar alarm (increasing—150 codes) Budget Code(s): 10240320-570001 <br /> Vendor# 39886 (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 /> UocuSigned by: <br /> Department Director's Signature �� 'Jb�a�' Date: 7/25/2019 <br /> Agreements for emergency services or repair _21EF373A;--- F-- 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 aUS& (,6�6 Date:7/25/2019 <br /> 7 FDC F91 7e800498- <br /> DS <br /> Financial Services E <br /> This instrument has been pre-audited in the manner ran„irarl by the T ocal Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 01.44 Date: <br /> Z7NE5181ACC1409 <br /> 7/29/2019 <br /> - <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> UocuSigned by: <br /> Office of the County Attorney , 66A, K6k iS Date:7/30/2019 <br /> EAA3033E08A84S5-- <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 />