Orange County NC Website
Revised 06/21 <br />9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Rehrig Pacific Co. Party/Vendor Contact Person: Nicholas Smoak Contact Phone: 843-816- <br />9057 Party/Vendor Address: 7800 100th Street City Pleasant Prairie State: WI Zip: 53158 Department: Solid <br />Waste Amount: $20,583 per yr. total $61,749 Purpose: Vision webbased cart system Budget Code(s): 50352020- <br />630003 Vendor # (N/A if new vendor) Vendor is a BOCC consult ant? Yes No Contract Type: <br />(Check one) New Renewal Amendment Effective Date 11-10-21 Approved by Board Yes No <br />Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No <br /> <br />This agreement is approved as to technical form and co ntent and I as Department Director affirmatively state work <br />on this project has not been initiated prior to execution of the agreement: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <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: Service was provided prior to my arrival without a formal contract. We learned of the need for a <br />contract when asked by purchasing when trying to pay the invoice for the service. <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 28DE16EE-4000-4435-B2A5-63D108A19B95 <br />11/21/2021 <br />11/22/2021 <br />11/22/2021 <br />11/22/2021 <br />11/23/2021