HomeMy WebLinkAboutR 2015-230-E AMS - Scott Haigler Electric - obtain applicable permits, perform electrical work at WCOB, Justice Facilities and SHSCDocuSign Envelope ID: 119AF03D-E3CO-4FO2-B437-7ODO8DB32D3E
ORANGE COUNTY —DEPARTMENT USE ONLY
Department
Party/Vendor Name: Scott Haigter.Electri , Party/Vendor Contact Person: Scott [jaigler Contact Phone: 919-479 -
9550 Party/Vendor Address: 6616 Blalock Road City Bahama State: NC Zip: 27503 Department: Asset
Maqqggj gnt Services Amount: 5 800 Purpose: obtain applicable mrinits and perform electrical work at ML(:O 3,
Justice Facilities, and SHSC Budget Code(s): 61370035-800000-30001 Vendor (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New Renewal ❑ Amendment 0
Effective Date 05/15/2015 Approved by Board Yes❑ Non Agenda Date:
This agreement is approved as to technical Porn , d&am;"t6y:
Department Director's Signature Date: 5/28/2015
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Information Technologies
(Applicable onb,, iw h4irdwarel,sojivva?-epiirchcise,5, or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer
Risk Mana2ement
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DOGUSigned by:
Office of the Risk Management Officer_,,,,,,, .. 9US& (hnttft6 Date: 5/28/2015
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer Date; 5/28/2015
Legal Services
ni is agreement is approved as to legal form a
Office of the County Attorney J6 Date: 5/29/2015
Clerk to the Board
Received for record retentiow
All Docusign contracts must be copied to Donna lJoydupon completion )oL
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The following signature block is for hard copies only and is not required for Docusign contracts:
RevisQd 1084
000uSign Envelope ID: 11eAF03o'E3on-4Fn2 o4nr-7nonnoonzonE
Office of the Clerk to (tic Board
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Date: