HomeMy WebLinkAboutR 2015-451-E AMS - Scott Haigler Electric Electrical & Alarm Services - electrical install for automated doors at 113 Mayo St. DocuSign Envelope ID: 33C88EF4-FFB2-404E-9835-D756AFACAOOD
ORANGE COUNTY-DEPAR'TMENT USE ONLY
.................. ........
Department
Party/Vendor Name: Scott.. It r Electric Electrical & Alarm_Services Party/Vendor Contact Persom Scott
-. ai_gle�_
ila gle r Contact Phone: 919-479-9550 Party/Vendor Address: 6616 Blalock Road City Baharna State: NC Zip:
2_7501 Department: Asset Man&njgit Services Amount: 114.00 Purpose pEcjyide elctrical install for automated
doors at 113 Mayo St Budget Code(s): 10400130-803000 Vendor It 62639 (N/A if new vendor) Vendor is a
BOCC consultant? Yes [:] No❑ Contract Type: (Check one)New ff Renewal E] Amendment El Effective
Date 08/21/2015 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature ......................... Date: 8/18/2,015
Information Technologie
(Applicable on y to or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief I nforniation Officer ................ Date:
Risk Manazemen
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned by:
Office of the Risk Management Officer PCs& (h�b Date: 8/18/2015
..................
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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:
P (A+6vu 8/18/2015
Office of the Chief Financial Officer Date:
1,e al Services
This agreement is approved as to legal form AuSkJaKy:
Office of the County Attorney........... 6U Date:.8/19/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloydupon completion @ 1)
The following signature Mock is for hard copies only and is not required br Docusign contracts:
Revised 10/14 5
DocuSign Envelope ID: 33C88EF4-FFB2-404E-9835-D756AFACAOOD
R ev iscd�0/14