Orange County NC Website
Browse       Search
DocuSign Envelope ID:0460F6DE-D59E-4F27-85AE-25EADBB3FB6B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: CFE Equipment Corporation, Inc. Party/Vendor Contact Person: Tim Bevilacqua Contact <br /> Phone: 336-668-0959 ext. 518 Party/Vendor Address: 6392 Burnt Poplar Ct. City Greensboro State: NC Zip: 27409 <br /> Department: Emergency Services Amount: 500.00 Purpose: PM on forklift 3 times a year plus parts if needed Budget <br /> Code(s): 10750120571000 Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 03/09/2020 Approved by Board <br /> 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 Director's Signature t� �� is Date: 3/10/2020 <br /> 5655BC89iA64473... <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 insurance standards, specifications,and requirements: <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner rec Docusigned by: mment Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer I 4 � Date: 3/10/2020 <br /> 7D4E5181 ACC 1400... <br /> Legal Services <br /> This agreement is approved as to legal form and cuff ' oocusigned by: <br /> Office of the County Attorney •: °' - Date: 3/10/2020 <br /> 4035CB8304CA4M... <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 11/19 4 <br />