HomeMy WebLinkAboutR 2015-614 AMS - State Employees' Credit Union for renewal of ATM lease at 104 E. Margaret Lane ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: State Employees' Credit Union Party/Vendor Contact Person: Tyretta LeCates, VP/City
Officer Contact Phone:919-732-0715 Party/Vendor Address:PO Box 26807 City Ralei h State:NC Zip:27611-
6807 Department:AMS Amount:$00 Purpose:ATM Lease@a,104 E Margaret Lane Renewal Budget Code(s):N/A
Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)
New❑ Renewal ® Amendment ❑ Effective Date 11/01/2015 Approved by Board Yes❑No❑ Agenda
Date:
This agreement is approved as to technical form and content: /
Department Director's Signature ( �^" "/ Date:
Inf • ation echnolo ies
(Applicable only to hardware/software purchases or r ted services)This agreement has been reviewed and is
approved as to information technology content and s ci tions:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Officer e�- d r" Date:/ —4-7 h S
Financial Services
This instrument has been pre-audited in the er equired by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 2 7
Legal Services
This agreement is approved as to legal form d icienc .
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecouptygc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date: