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HomeMy WebLinkAboutR 2018-118 AMS - Harris Bros Install Shore Lines ERPDRevised 10/17 6 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Department Party/Vendor Name: Harris Bros. Electric & Controls, Inc. Party/Vendor Contact Person: Shaun Harris (bsharris16@msn.com) Contact Phone: 919.220.8500 Party/Vendor Address: 2712 Hillsborough Road City Durham State: NC Zip: 27705 Department: AMS/ES Amount: $3,600.00 Purpose: Install (2) Shore lines at Eno River parking deck for ambulances during activation of Backup E9-1-1 Call Center Budget Code(s): 61370035- 880000-30062 Vendor # 55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 4/18/2018 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: Department Director’s Signature ________________________________________ Date: ________ Asset Management (Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services content and specifications: Office of the Asset Management Director__________________________________ 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: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: DocuSign Envelope ID: BE59ABC9-A542-42B5-8112-B376B7580B9B