HomeMy WebLinkAboutR 2018-754 AMS - Keenan Electrical Gateway DocuSign Envelope ID:94F04810-ED21-4E95-8CDC-D01821E590AE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Keenan A Williams, Electrical Contractor PartyNendor Contact Person: Keenan Williams
Contact Phone: 919-510-6417 PartyNendor Address: 730 Eagle Point Rd City Pittsoboro State: NC Zip: 27312
Department: AMS Amount: $792.00 Purpose: Gateway Electrical. Budget Code(s): 10335030-803000 Vendor ##
65426 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑
Renewal❑ Amendment ❑ Effective Date 11/19/2018 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and c oocuSigned by:
Department Director's Signature �� Aaron, Datc�l/14/2018
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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 h Docusigned ay: aecifrcations,and requirements:
aUS& c6l'ln.t{�6 11/19/2018
Office of the Risk Management Officer Date:
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Financial Services
This instrument has been pre-audited in the M. oocusigned ay:` .al Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer s[1 Date;11/19/2018
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Legal Services
This agreement is approved as to legal Uocusigned by:66 P
Office of the County Attorney Date:11/19/2018
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sing.,ei:sollaoi-an egecvuntync.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 fMP,r appry 5k 6/18) 4