HomeMy WebLinkAboutR 2016-483-E AMS - Image360 - North Raleigh for Library Kiosk Wrap DocuSign Envelope ID:401AF540-6487-44CD-AB00-3691BB3FAD55
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Image360 - North Raleigh Party/Vendor Contact Person: Manish Dubal
(manish@image360northralei hg com) Contact Phone: 919.307-4119 Party/Vendor Address: 8471 Garvey Drive, Ste
101 City Raleigh State: NC Zip:27616 Department: AMS Amount: 1479.80 Purpose: Library Kiosk Wrap Budget
Code(s): 61370035--880000-1001.6 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No
® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date August 24,2016 Approved by
Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
D 5 g d by:
Department Director's Signature p Date: 8/22/2016
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Information Technologies
(Applicable only to hardware/sofAvare 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:
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D Sy dby:
Office of the Risk Management Office► USA, Date: 8/22/2016
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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:
Docu Signed by:
Office of the Chief Financial Officer �C. �° III° Date: 8/23/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
D g dby:
Office of the County Attorne 16L Date: 8/23/2016
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Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg coun. nc.gov
The following signature block is for hard copies only and is not required for Docusign conttacts:
Office of the Clerk to the Board Date:
Revised 6/16 5