HomeMy WebLinkAboutR 2017-404-E AMS - Nelson Alarms, Inc. to install intruder alarm system DocuSign Envelope ID:20818283-1755-42D3-ACCB-4BOBFB3AFOD3
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nelson Alarms, Inc. Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336-
685-0949 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount:
$740.68 Purpose: Intruder alarm system install 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 08/14/2017 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:
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gust,. �,bvvt.C116 8/16/2017
Office of the Risk Management Officer Date:
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Financial Services
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This instrument has been pre-audited in the a twaarod by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 6/Q Dat 8/21/2017
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Legal Services
This agreement is approved as to legal form and sufficiency:
r---DocuSigned by:
Office of the County Attorney joLvi, rolivts Date: 8/25/2017
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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