Orange County NC Website
DocuSign Envelope ID: EA4ADD63-2F60-4EE3-933C-AB2C1AD4FOA1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: National Power Party/Vendor Contact Person: Bret Horton Contact Phone: 919.256.3942 <br /> Party/Vendor Address: 4541 Preslyn Dr City Raleigh State: NC Zip: 27616 Department: AMS Amount: <br /> $26,659.00 Purpose: Annial Generator Maintenance Budget Code(s): 10240320-630000 Vendor#49318 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 7/1/2019 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> Uocusigned by- <br /> Department Director's Signature 21EFMAGD454EF.. Date: <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 insu--- -ocusig ea by: -----ifications,and requirements: <br /> Office of the Risk Management Officer U$4. �,bVln.t,{�6 Date:8/5/2019 <br /> 7FDCF91768004M. <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 Officer 7 Date: 8/6/2019 <br /> 04E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and ilocusigned by: <br /> �bLW K6�tYfS 8/7/2019 <br /> Office of the County Attorney Date: <br /> EAA3033E08AE4S5.. <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 />