HomeMy WebLinkAboutR 2018-786 AMS - Keenan Williams Electrical Tax Office electrical DocuSign Envelope ID:6B6FDE8C-BB7C-4270-8B4F-E2FEA17AA582
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
PartyNendor Name: Keenan A. Williams,NC Electrical Contractor PartyNendor Contact Person: Keenan Williams
Contact Phone: 919-614-0203 Party/Vendor Address: 730 Eagle Point Road City Pittsboro State: NC Zip: 27312
Department:AMS Amount: $1619.00 Purpose: Gateway Tax Electrical Budget Code(s): 10335030-803000 Vendor#
65426 (N/A if new vendor) Vendor is a BGCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑
Renewal❑ Amendment ❑ Effective Date 11/30/2018 Approved by Board Yes❑No[] Agenda Date:
This agreement is approved as to technical form Docusigne Pbl*NA.d dy:
Department Director's Signature Date: 11/29/2018
21EF373ACD454EF...
Information Technologies
(Applicable only to har&var•elsoftivare 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 i------�ocu5ignedby: 3ecifieations,and requirements:
Office of the Risk Management Officer SUS& Ct'iV'ln.A6 Date 11/30/2018.
7FDCF9178800498...
Financial Services
This instrument has been pre-audited In thf"" Docusigned by:
f 1"'"'Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 11/30/2018
7D4E51&1ACC1409...
Legal Services
This agreement is approved as to legal Docusigned by:
I�,
�b� K6k 12/3/2018
Office of the County Attorney ElAM33ED&AW5... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts inust be copied to Sherri Ingersoll upon completion: singerso1l(@oran_ecountync.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:
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Revised 10117(Mgr appry A 6118) 4