HomeMy WebLinkAboutR 2017-546-E AMS - Applied Drives Inc. for emergency repair of boiler pump at Library DocuSign Envelope ID:87297174-8311-443E-8424-CD9AE774C78C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Applied Drives Inc Party/Vendor Contact Person: Dennis Hayes Contact Phone: 704-573-2324
Party/Vendor Address: PO Box 690245 City Charlotte State: NC Zip: 28227 Department: AMS Amount: $1990
Purpose: emergency repair Library boiler pump Budget Code(s): 10240320-570000 Vendor # 64802 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 10/04/2017 Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
10/5/2017
Department Director's Signature ye# npooino Date:
9E880A46CF64498...
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:
DocuSigned by: 11LL
Office of the Risk Management Officer aLlSa �,bvvt e ttb Date: 10/6/2017
7FDCF9176800498...
DS
Financial Services ��
This instrument has been pre-audited in the ma 7r4i14y the Local Government Budget and Fiscal Control Act:
6/47 00..a/6m.. 10/6/2017
Office of the Chief Financial Officer 7o-4ES18��CC14fls._. Date:
Legal Services
This agreement is approved as to legal form and suficiesuc
ocu ig d by:
l°b tt, fs 10/6/2017
Office of the County Attorney ,)ttuA, Date:
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)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