R 2019-640 AMS - Siemens Building Technologies ES HVAC controls

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DocuSign Envelope ID:299C1D9F-FB2B-45B9-AA1F-9C3418D1287B ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Siemens Building Technologies Party/Vendor Contact Person: Jake Synder (jacob.snyder(a)siemens.com) Contact Phone: 919.413.1666 Party/Vendor Address: 215 Southport Dr. Suite 900 City Morrisville State: NC Zip: 27560 Department: AMS Amount: 39,125.00 Purpose: Install controls for new HVAC system Budget Code(s): 61370035-880000-10068 Vendor# 53325 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 9/16/2019 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director's Signature Date: 9/13/2019 Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: Office of the Risk Management Office , S" bA1t f° Date: 9/16/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: PL Office of the Chief Financial Officer E Date:9/17/2019 Leal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney �' `�a�crf S Date:9/18/2019 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 12/18 11