HomeMy WebLinkAboutR 2016-240-E AMS - Intellicom, Inc. to install cables in Whitted Room 210 DocuSign Envelope ID: DA583654-9F26-4D03-8996-80949B3474CA
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock Mike@intellicomusa.com
Contact Phone: 919.957.1949 Party/Vendor Address: 2902 S. Miami Blvd., Ste C City Durliam State: NC Zip:
27703 Department: AMS Amount: 1627.00 Purpose: Install cables in Whitted Room 210 Budget Code(s):
10240320-570001 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No
® Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature p"°" Date: 4/21/2016
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Information Technologies
(Applicable only to har•drvare/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
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Office of the Chief Information Officer 1 Date: 5/4/2016
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
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Office of the Risk Management Officer Q(asa Date: 5/5/2016
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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:
Office of the Chief Financial Officer[E .A Date: 5/5/2016
Leal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney��°lun uocuSgnetleo Date: 5/5/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran ecoun•nc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
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Revised 1/16 5
DocuSign Envelope ID: DA583654-9F26-4D03-8996-80949B3474CA
Office of the Clerk to the Board Date:
Revised 1/16 6