HomeMy WebLinkAboutR 2018-658 AMS - Intellicom Sportsplex FieldhouseRevised 10/17 6
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Intellicom, Inc. Party/Vendor Contact Person: Mike Bullock (mike@intellicomusa.com)
Contact Phone: 919.957.1949 Party/Vendor Address: 2902 S. Miami Blvd Ste C City Durham State: NC Zip:
27703 Department: AMS Amount: $25,000.00 Purpose: Data/fiber for Sportsplex Field House Budget Code(s):
54540030-880000 Vendor # 44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract
Type: (Check one) New Renewal Amendment Effective Date 8/31/18 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:
Office of the Clerk to the Board __________________________________________Date:_________
DocuSign Envelope ID: 7E9FF784-5580-4F4F-95AD-AAF601ED7565