HomeMy WebLinkAboutR 2017-112-E AMS - Penta Engineering Group, Inc. for material testing in 009, 011 for back up 911 call center DocuSign Envelope ID:80160778-AE5F-4DC7-AAC5-2C5C76CD400D
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Penta Engineering Group Inc Party/Vendor Contact Person: Dan Blair (dblair @pentaeng.com)
Contact Phone: 919-455-0212 Party/Vendor Address: 4000 Miller Court West City Norcross State: GA Zip: 30071
Department: AMS Amount: $650.00 Purpose: Material Testing in Conference Rooms 009 & 011 for installation of
back up 911 Call Center Budget Code(s): 61370035-870000-30062 Vendor#61470 (N/A if new vendor) Vendor is
a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective
Date 3/23/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date:
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 Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications, and requirements:
DcSg dby'
Q(asa(ewu,ffo 3/15/2017
Office of the Risk Management Office „„„,„,„,_ Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
D se dby
Office of the Chief Financial Officer l'N `6-41— Date: 3/15/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
l---DOCUSigned by:
Muti,rek,r6 3/16/2017
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 @orangecountync.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:
Revised 2/17 5