HomeMy WebLinkAboutR 2018-273 Planning - Lake Orange Flow Meter - Priority RepairRevised 10/17
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Custom Controls Unlimited, Inc.Party/Vendor Contact Person: Devin Carroll, Vice
PresidentContact Phone: 919-661-5556Party/Vendor Address: 2600 Garner Station Blvd.City RaleighState: NC
Zip: 27603Department: PlanningAmount: $2,280.00Purpose: Repair of ISCO Flow Meter at Lake Orange
Budget Code(s): 10695020-720013Vendor # 63654(N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date July6, 2018
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:
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:_________
DocuSign Envelope ID: 88D4232D-A1F7-456E-86CE-DA0982477F31