HomeMy WebLinkAboutR 2017-610-E AMS - Nelson Alarms, Inc. to install fire alarm system at Efland Cheeks Community Center DocuSign Envelope ID:OAE3C3F6-171 B-4145-8E97-BEB7A71 D5030
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nelson Alarms, Inc. Party/Vendor Contact Person: Leigh Anne Nelson
�N (lanelson67 @yahoo.com) Contact Phone: 336.685.0949 Party/Vendor Address: PO Box 10 City Randleman
State: NC Zip: 27317 Department: AMS Amount: $4,718.18 Purpose: Installation of Fire Alarm System at the
Efland-Cheeks Community Center Budget Code(s): 61370035-880000-30001 Vendor # 39886 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date November 6,2017 Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature[q °'">"°" Date: 11/2/2017
�etd �<o,�e<�n
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
osaed ev:
Office of the Asset Management Director 2* °"1"°w Date: 11/2/2017
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Office atria C"- Date: 11/9/2012
7F.F9176800498
Financial Services
rThis instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
vy Act:
Office of the Chief Financial Officer C Date: 11/10/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County AttorneyU6 G,w r s Date:11/10/2017
l°e EAA3o33EOeAa465_
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:
Revised 2/17 6