HomeMy WebLinkAboutR 2018-784 AMS - Carolina Parking Justice Center Gate repair DocuSign Envelope ID:62D5D1EC-B55B-43A6-AAB6-9B5B9CCE2973
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carolina Parking and Entry Systems Party/Vendor Contact Person: Cameron Miller Contact
Phone: 336-682-2768 PartyNendor Address: 931-B South Main St #138 City Kernersville State: NC Zip: 27284
Department: AMS Amount: $880.00 Purpose: Justice Security Gate Repair Budget Code(s): 10240320-57000
Vendor 0 64723 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)
New ❑ Renewal ❑ Amendment ❑ Effective Date 11/27/2018 Approved by Board Yes❑ No❑ Agenda
Date:
This agreement is approved as to technical f1�' VbV*aan.DocuSigned by:
Department Director's Signature Date; 11/29/2018
21 EFMACD454EF...
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' D $a` (hKWA 6 Docusigned aY: ' pecifications,and requirements:
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Office of the Risk Management Offfcer�� Date:11/30/2018
7FDCF817E800498... --
Financial Services
This instrument has been pre-audited in the In. Docusigned by: - :al Government Budget and Fiscal Control Act:
11/30/2018
Office of the Chief 1Financial Officer Date:
17NE5181ACC1409...
Legal Services
This agreement is approved as to legal f Docusigned by:
K6� 12/3/2018
Office of the County Attorney EAAM33ED8A905... _ Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@or-angpcountyne,go_v
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 appry 5k 6/t8) 4