HomeMy WebLinkAboutR 2015-447-E AMS - Advanced Door Automation to install automatic door equipment at 113 Mayo St. DocuSign Envelope ID: 3312F4DA-F50C-44DA-9298-271ABA823577
ORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Advanced Door Automation Party/Vendor Contact Person- flenry !��d Contact Phone:
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919-384-0232 Party/Vendor Address: PO Box 61678 City Durham State: NC Zip: 27715 Department: Asset
Man4g,g�,Ln it Services Amount: K_494 Purpose: Install Automatic Door Lquipment (d) 113 Mayo St Budget
Code(s): 10400130-803000 Vendor# 57343 (N/A if new vendor) Vendor is a BOCC consultant'? Yes FjNoE1:
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Conti-act Type: (Check one)New E Renewal [:] Amendment Ej Effective Date 08/21/2015 Approved by Board
Yes F_I NoF1 Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Date:...8/14/2015
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Information Technollo2ie
(Aplificable ony to hcit�thviirelvoftvtar(,,pzirt°li�is•e„ or related services)This agreement has been reviewed and is
approved as to infon-nation technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications, and requirements:
DocuSigned by:
Office of the Risk Management Officer &0. (tVVAff6 Date: 8/17/2015
_127FDCF9176800498_
Financial Set-vices
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
cer I
Office of the Chief Financial Offl Date: 8/17/2015
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LA
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232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form N&W10i0mvy:
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Office of the County Attorney 'F�6 r6"S Date: 8/18/2015
essEDSAMaEr- -_ .....-----
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ it ty gq
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The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/14 5
DocuSign Envelope ID:3312F4DA-F50C-44DA-9298-271ABA823577
Office of the Clerk to the Board ............... —------,Date:-
Revised W/14 6