Orange County NC Website
DocuSign Envelope ID:3F55A8F1-D874-4822-AA71-C7764F374CF0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: FESS Fire Protection Party/Vendor Contact Person: Ryan Willoughby Contact Phone: 919- <br /> 469-8099 Party/Vendor Address: 131 International Dr City Morrisville State: NC Zip: 27560 Department: AMS <br /> Amount: $24,065.00 Purpose: Annual Sprinkler and Backflow Inspections Budget Code(s): 10240320-630000 <br /> Vendor#60454 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one) <br /> New ❑ Renewal ❑ Amendment ❑ Effective Date 7/16/2019 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 06V*atn. <br /> � <br /> Department Director's Signature Date:7/19/2019 <br /> 27EF373ACn454EF.. <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 sufficiency of n DocuSigned <br /> _by: <br /> .� recifications,and requirements: <br /> a�sa 7/26/2019 <br /> Office of the Risk Management Officer 7FDCF817e800498. Date: <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 /> A " 7/29/2019 <br /> Office of the Chief Financial Officer 7oaE59S1 ACC 1400. Date: <br /> Legal Services <br /> This agreement is approved as to legal form DocuSigned by: <br /> Office of the County Attorney �6LW Pkk l 5 Date: 7/30/2019 <br /> EAA3MaEDSAW&- <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 /> 8 <br />