HomeMy WebLinkAboutR 2015-224-E ES - Scott Haigler Electric for electric outlets for Situation Monitors DocuSign Envelope ID: 9700507C-F8DD-4D99-B4F2-ADC24286F4B8
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Scott Haider Electric Party/Vendor Contact Person: Scott Haigler Contact Phone: 919-479-
9550 Party/Vendor Address: 6616 Blalock Rd City Bahama State: NC Zip: 27503 Department: Emergency Services
Amount: 4500.00 Purpose: Electric outlets for Situation Monitors Budget Codes): 10750020-570001 Vendor 4 62639
(NIA if new vendor) Vendor is a B GCC consultant`? Yes ❑ No® Contract Type: (Check one) New ® Renewal
❑ Amendment ❑ Effective Date Approved by Board Yes[] No[] Agenda Date:
This agreement is approved as to tec bC iiaraad:content:
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Department Director's Signature Date. 5/11/215
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Information Technologies
(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of' n0miWards, specifications, and requirements:
Office of the Risk Management Officer Date: 5/13/2015
Financial Services
This instrument has been pre-audited in nor"aired by the Local Government Budget and Fiscal Control Act:
PMAL 5 2 5 2 015
Office of the Chef Financial Officer Date. / /
Leal Services
This agreement is approved as to aMf�y,� -sufficiency:
�66kw ups 5 26 2015
I I Office of the County Attorney . Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion 4 Dolloyd(dwm-i ecoujtync.
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10114 4