Orange County NC Website
DocuSign Envelope ID:7402ADBA-AB6F-4748-8E89-B815DD3B7025 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Harris Brothers Electric & Controls, Inc. Party/Vendor Contact Person: Calvin Harris <br /> (calvinrharris(a)msn.com) Contact Phone: 919-220-8500 Party/Vendor Address: 2712 Hillsborough Road City <br /> Durham State: NC Zip: 27705 Department: AMS Amount: $19,242.00 Purpose: To install a 220A 3 pole 480v <br /> breaker in the existing 600A Siemens MDP at Hillsborough Commons Budget Code(s): 61370035-890000-30013 <br /> Vendor#55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 10/1/2019 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 /> Department Director's Signature 5 Date:9/17/2019 <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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office kGs� �a��#f° Date: 9/17/zo19 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P( Act: <br /> Office of the Chief Financial Officer r�4 N "` Date: 9/17/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney ' Date: 9/20/2019 <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 5 <br />