Orange County NC Website
Browse       Search
DocuSign Envelope ID: FBDOF367-7A44-41CA-B772-4BCA78DCBCAA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom Communication Specialists Party/Vendor Contact Person: Mike Bullock Contact <br /> Phone: 919-614-8110 Party/Vendor Address: 2902 South Miami Boulevard, Suite C City Durham State: NC Zip: <br /> 27703 Department: AMS Amount: $2,291.00 Purpose: Whitted 240 conference room projector Budget Code(s): <br /> 10240320-570001 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ <br /> 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 Director's Signature Date: 9/23/2019 <br /> Agreements for emergency services or repair are no sui jec toine 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 insur DocuSigned <br /> _by:. 'fications,and requirements: <br /> I <br /> 66 �,DVln.t 6 9/30/2019 <br /> Office of the Risk Management Officer Datc: <br /> 7FDCF9178800495" <br /> Financial Services <br /> This instrument has been pre-audited in the mai Docusign ea ay: - d Government Budget and Fiscal Control Act: <br /> 4 . 9/30/2019 <br /> Office of the Chief Financial Officer Date: <br /> 704E51S1ACC1409" — - <br /> Legal Services <br /> This agreement is approved as to legal fo DocuSigned Gy: <br /> , 66A, K6kY S 9/30/2019 <br /> Office of the County Attorney EAA3D33ED8AW5"" Date: <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 />