HomeMy WebLinkAboutR 2018-153 AMS - Northwestern Emergency Vehicles GEO TabsORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: NorthwesternEmergency VehiclesParty/Vendor Contact Person: Don Marlow, Shop
ManagerContact Phone: 336-877-7400Party/Vendor Address: PO Box 790City JeffersonState: NCZip: 28640
Department: AMSAmount: $2700Purpose: install geo tabs ES unitsBudget Code(s): 10240430-800000Vendor
#N/A(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New
Renewal Amendment Effective Date 04/25/2018Approvedby 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:
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:
Office of the Clerk to the Board __________________________________________Date:_________
Revised 10/17
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DocuSign Envelope ID: F3C7762A-23A9-4B50-BCBB-793718768C3A