Orange County NC Website
DocuSign Envelope ID:522CDOE6-4A50-4B4B-B8BF-091D734OC295 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: FESS Fire Protection Party/Vendor Contact Person: Gabriel Pettit (gpettitkFESSinc.net) <br /> Contact Phone: 919-469-8099 Party/Vendor Address: PO Box 1307 City Morrisville State: NC Zip: 27560 <br /> Department: AMS Amount: $6841.00 (Six Thousand Eight Hundred Forty One Dollars) Purpose: to Replace <br /> Backflow at Animal Services Budget Code(s): 10240320-570001 Vendor#60454 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DDocu""S""igned by: <br /> Department Director's Signat rVW), ArtLk Date: 1012112020 <br /> Agreements for emergency serve :61DK- ' 5not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: We have an active leak at this device and could lose the ability to provide water to the facility. <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc ,j%.V..ajb$F standards,specifications,and requirements: <br /> Office of the Risk Management Offic r QUSA, rbvvu lib Date: 10/23/2020 <br /> 7FDCF9176800498... <br /> DS <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act' DocuSigned by: <br /> Office of the Chief Financial Offi Cei(- ' 1.� Date: 1012712020 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as ,,,,,Q nd sufficicncy: <br /> ��`` 10/27/2020 <br /> Office of the County Attorn y,1�5�� � � Date: <br /> 4C5F3CDDF0B94F6... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br /> 9 <br />