Orange County NC Website
Revised 06/21 <br />9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Party/Vendor Name: National Power, LLC Party/Vendor Contact Person: Cody Warren Contact Phone: 919-594- <br />7081 Party/Vendor Address: 4541 Preslyn Drive City Raleigh State: NC Zip: 27616 Department: AMS Amount: <br />$5000.00 Purpose: Passmore & Seymour Center Install Omnimetrix Remote Monitor Budget Code(s): 10240320- <br /> Vendor is a BOCC consultant? Yes No Contract Type: 570001 Vendor # 57533 (N/A if new vendor) <br />(Check one) New Renewal Amendment Effective Date Approved by Board Yes No <br />Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No <br />This agreement is approved as to technical form and content and I as Department Director aff irmatively state work <br />on this project has not been initiated prior to execution of the agreement: <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: <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 required by the Local Government Budget and Fiscal Contr ol <br />Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <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 />DocuSign Envelope ID: DC7D75E7-8981-4E5B-8D58-07B1372A832E <br />9/30/2022 <br />10/4/2022 <br />10/5/2022 <br />10/5/2022