HomeMy WebLinkAboutR 2015-500-E ES - Console Cleaning Specialist to provide cleaning and furniture maintenance DocuSign Envelope ID:63F461C3-2BFE-44AE-B3D1-76B5DB35C3BD
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Console Cleaning Specialist Party/Vendor Contact Person: Jenny Mason Contact Phone:
855-227-2329 Party/Vendor Address: 1595 Bishop Rd City Chelais State: WA Zip: 98532 Department:
Emergency Services Amount: $3,850.00 Purpose: Console cleaning and furniture maintenance Budget Code(s):
35755120-571000 Vendor#62529 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 09/03/2015 Approved by Board Yes❑
No❑ Agenda Date:
This agreement is approved as to technical fo doecsbiy:
tv�n, �tis�+Pe.�- 9/9/2015
Department Director's Signature Date:
6AF79FFECTA ...
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 LZUS& E&� Wndards,specifications,and requirements:
r,6v vt Yb_ 9/10/2015
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSign�e�d�bby::�
Office of the Chief Financial Officer � Date: 9/10/2015
ei=Fege�asa-r ...
Legal Services
This agreement is approved as to 7�'7� �ysufficiencyOffice of the County Attorney 1 Date: 9/11/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
The following signature block is for hard copies only and is not required for Docusign contracts:
DocuSign Envelope ID:63F461C3-2BFE-44AE-B3D1-76B5DB35C3BD
Office of the Clerk to the Board Date: