HomeMy WebLinkAboutR 2017-254-E ES - Alamance County - Interlocal Agreement to provide EMS response to an OC location only accessable through Alamance County DocuSign Envelope ID: F41AA9E0-120C-460A-96B2-F653337E8D2B
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Alamance County Party/Vendor Contact Person: Bryan Haygood Contact Phone:
336-228-1312 Party/Vendor Address:Alamance County Office Bldg
124 West Elm Street City Graham State: NC Zip: 27253 Deparl.ulent: EMS/Communications Amount:
>$1500.00 Purpose: To provide more efficient EMS Response to an Orange County location only
accesable through Alamance County Budget Code(s): 0 Vendor# (N/A if new vendor) Vendor
is a BOCC consultant? Yes❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑
Effective Date July 1,2017 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to to @�°f ^ content:
Ut je I'c'1'S 6/29/2017
Department Director's Signature cncskrsv41A64473... 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:
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal
Control Act: DocuSigned by:
r144. SZIrtoal2M,
Office of the Chief Financial Office Date:6/29/2017
7D4C51944kCC1409...
Legal Services
This agreement is approved as egatuitfigill did sufficiency:
a 'l' 1' 1SCd 7/2/2017
Office of the County Attorne 079A411525C0F4FB._ 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:
7
Rev. 6/17