HomeMy WebLinkAboutR 2017-170-E AMS Intellicom, Inc. to provide, install (3) 55 tv's and (3) lockable tv wall mounts DocuSign Envelope ID: C0814BC9-2ADO-4479-82C0-D84B023A06E8
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 Durham State: NC Zip: 27703
Department: AMS Amount: $2785.00 Purpose: Provide and install (3) 55" TV's and (3) lockable TV wall mounts
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 5/17/2017
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 2 74 '' Date: 5/9/2017
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:
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Office of the Risk Management Office t'sa C'1"6 Date: 5/10/2017
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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:
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Office of the Chief Financial Office @ Date: 5/15/2017
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Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney,9°( rOtiwts Date: 5/16/2017
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