HomeMy WebLinkAboutR 2017-740-E AMS - Carolina Parking deck gate replacement DocuSign Envelope ID:8FB10AE2-FF42-455E-B977-09A898706984
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carolina Parking&Entry Systems,LLC Party/Vendor Contact Person: Cameron Miller Contact
Phone: 336-893-0811 Party/Vendor Address: 301 Twinwood Rd City Clemmons State:NC Zip:27012 Department:
AMS Amount:. $6,650.00 Purpose: Parking Deck Gate replacement Budget Code(s): 10240320-570000 Vendor#
63705 (N/A if new vender) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑
Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to techn' '6ocuSigned'by:
� I
Department Director's Signature Date: 9/12/2017
9E88CA48CF64498...
Information Technologies
(Applicable only to hardwarelsoftware 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 o �6� �V1n. 6` �u� sgn-ed-by:' specifications,and requirements:
Office of the Risk Management Officer__ Date: 9/12/2017
7F6CF9176890498...
Financial Services
This instrument has been pre-audited in tl DocuSigned by: ;Local Government Budget and Fiscal Control Act:
[Office of the Chief Financial Officer � s��. Date: 9/12/2017
704E5181ACC1469...
Local Services
This agreement is approved as to 1 oocusigned by: r- iency:
Office of the County Attorney_DEAAM3aEMAW5
66A, Kb�t� Date. 9/12/2017
...
Clerk to the Board
Received for record retention:
All Docusign contracts must he copied to Donna Lloyd upon completion @DolloydrJae orangecauntync,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