HomeMy WebLinkAboutR 2016-462-E AMS - Nelson Alarms, Inc. for upgrade system at CG Comm. Center DocuSign Envelope ID:AD429797-DE7F-427B-B28B-5BF443926C54
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nelson Alarms,Inc Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336-685-
9049 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount:
$1,306.13 Purpose: Upgrade system at Cedar Grove Comm Ctr Budget Code(s): 10240320-630000 Vendor# 39886
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New® Renewal
❑ Amendment ❑ Effective Date 08/15/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form Ek 61"by:
Department Director's Signature y- Ao or, Date: 8/15/2016
9E880A46CF64498...
Information Technolosies
(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:
Docu5igned""by:
''11i1
Office of the Risk Management Officer Pausa, (,6rvu,�16 Date: 8/15/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner regc�ui. d by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer I r, `�°'�" �°'v Date: 8/15/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:,' ,,
Office of the County Attorney
�66, r6 v,�,t s Date:8/17/2016
EAAMKEDM8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov
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 6/16 5