Orange County NC Website
Browse       Search
DocuSign Envelope ID:C244DA8B-F5FA-452D-96CC-93C13A7F4498 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Firebrand Pro Party/Vendor Contact Person: Mark Mitchell Contact Phone: 336-516-0908 <br /> Party/Vendor Address: 3349 Winston Drive City Burlington State: NC Zip: 27215 Department: AMS Amount: <br /> 550.00 Purpose: Cedar Grove Fire Door Annual Inspections Budget Code(s): 10240320-630000 Vendor # 65764 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal <br /> ❑ Amendment ❑ Effective Date 8/30/2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department nature F2­-MB81844C5_� �Vln.� Date: 8/27/2019 <br /> P g <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 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 insurar---iiocusig A ay----""ations,and requirements: <br /> aCisa <br /> Office of the Risk Management Officer m&6 Date:9/12/2019 <br /> 1 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the ma17NE5181AMA00 <br /> 4 �Docusigned by: al Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer . Date: 9/13/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and su Docusigned by: <br /> 6� K6 <br /> Office of Fthe County Attorney Date: 9/13/2019 <br /> EAA3033E08A805.. <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 />