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2022-630-E-IT Dept-Systel Business Equipment-Copier for DSS
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2022-630-E-IT Dept-Systel Business Equipment-Copier for DSS
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Last modified
12/15/2022 8:28:10 AM
Creation date
12/15/2022 8:27:58 AM
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Template:
Contract
Date
12/9/2022
Contract Starting Date
12/9/2022
Contract Ending Date
12/14/2022
Contract Document Type
Contract
Amount
$12,000.00
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Revised 06/21 <br />9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Systel Business Equipment Party/Vendor Contact Person: Michelle Shepard Contact Phone: <br />(336) 808-8000 Party/Vendor Address: P.O. Box 3591 City Fayetteville State: NC Zip: 28303 Department: <br />Department of Social Services Amount: $12,000.00 (over 4 years) Purpose: Copier for DSS Budget Code(s): <br />10400120-590000 Vendor # 11999 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract <br />Type: (Check one) New Renewal Amendment Effective Date 29 November 2022 Approved by Board <br />Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget <br />Yes No <br /> <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 /> <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: Copier was delivered 7/1/2022 <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: 16533C9E-A523-45A2-8AAC-D8C5B3CFB61E <br />12/9/2022 <br />12/9/2022 <br />12/10/2022 <br />12/12/2022 <br />12/14/2022
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