HomeMy WebLinkAboutR 2018-748 AMS - Quality Air Tools 80 Gal tank installationORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Quality Air Tools RaleighParty/Vendor Contact Person: Lyndsay StormsContact Phone: 919-
329-9650Party/Vendor Address: 3713 Conquest DriveCity GarnerState: NCZip: 27529Department: AMS
Amount: $1682.38Purpose: 80 gallon vertical tank installBudget Code(s): 10240420-630000Vendor # 58181(N/A
if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal
Amendment Effective Date 11/02/2018Approved 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:_________
Revised 10/17 (Mgr apprv 5k 6/18)4
DocuSign Envelope ID: 6CE9F4FB-27D4-4B9A-A269-DDC1952921CB