HomeMy WebLinkAboutR 2015-638-E AMS - Intellicom, Inc. for Cedar Grove Community Center wiring DocuSign Envelope ID:A2BEC72B-1019-4ECC-A6DB-E6EE96E550F3
ORANGE COUNTY-DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/endor Name: Intellicom, Inc PartyNendor Contact Person: Paul Connor Contact Phone: 919-614-8111
PartyNendor Address: 2902 S. Miami Blvd.,Ste C City Durham State: NC Zip: 27703 Department: Asset
Management Services Amount: $17,920.00 Purpose: C_ edar Grove Comm Ctr Wiring Budget Code(s): 61370035-
880000-10016 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract
Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 12/15/2015 Approved by Board Yes❑
No❑ Agenda Date:
This agreement is approved as to technicaicfos anrblycontent:
r
Department Director's Signature 24 ilO"`ro°f' Date:
--9E880A46CF64498... 12/19/2015
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 Director of Information Technology Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
r DocuSigned"by:
'�.�.
• Office of Risk Management aLSo tort td{{b Date:
12/19/2015
�---7FDCF9178800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer E 0 Date:
7D4E5181ACC1409... 12/24/2015
Legal Services
This agreement is approved as to legal form g nd sufficiency:
r
Office of the County Attorney jOLIA, lebliV/6 Date:
'4^---EAA3D33ED8A8465... 12/28/2015
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 7/14
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