HomeMy WebLinkAboutR 2015-600-E AMS - ALSCO, Inc. motor pool supplies and uniforms delivered weekly DocuSign Envelope D: 787725A8-5582-4l E2-8F7C-1 E637F3B2D39
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: ALSCG,Inc Party/Vendor Contact Person: Tim Richard,Asst District Mir Contact Phone: 919-
596-2186 Party/Vendor Address: PG Box 3594 City Durham State:NC Zip: 27702 Department: Asset Management
Services Amount:per item and qty detailed in provided Service Agreement Schedule A Purpose: Motor Pool Supplies,
and uniforms delivered weekly Budget Codes): 10240420-670000 Vendor 4 16942 (NIA if new vendor) Vendor is
a B GCC consultant`? Yes El No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective
Date 10/1512015 Approved by Board Yes❑No F-1 Agenda Date:
This agreement is approved as to technical'F oaigrgant:
� �
Department Director's Signature Date: 11/14/215
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 insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer ���� ntd Date
11/16/215
7FDCF91 76800498...
Financial Services
This instrument has been pre-audited in the mann ��4ad � d :the Local Government Budget and Fiscal Control Act:
• (l Arz.4�a� 11/17/215
Office of the Chef Financial Officer Date:
7D4E5181ACC1409...
Leal Services
This agreement is approved as to legal form and j&qy� by:
�bLvtw s 11/17/2015
Office of the County Attorney Date:
Ei�EYMC—D EWV_, .
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