HomeMy WebLinkAboutR 2016-753 AMS - Harris Bros charging station DocuSign Envelope ID:3946EAOB-95B2-4D15-A709-9F4B732AC5E3
ORANGE COUNTY—DEPARTMENT USE ONLY
Department _
Party/Vendor Name: HaiTis Bros. Electric 8c Controls, Inc Party/Vendor Contact Person: Calvin Harris Contact
Phone: 919-220-8500 Party/Vendor Address:2712 Hillsborough St City Durham State:NC Zip:27705 Department:
AMS Amount: $6.155.00 Purpose: Battery Charging Stations Budget Codes): 10.240320-57000.1 Vendor# 55477
(N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New ❑ Renewal
❑ Amendment ❑ Effective Date 10/17/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to to DocuSi�gyned by, Dnt:
Department Director's Signature ,Date:1 18 2016
9E88CA48CF64498... -
Information Technoiogies
(applicable only to ha7•dwai-e/software pzrj•chases 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:
DocuSigned by:
Office of the Risk Management Office us& COVrn.t& Date: 10/19/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the.,,a„r-ri„i—I h,l the Local Government Budget and Fiscal Control Act-
DocuSigned by:
Office of the Chief Financial Officer l� i� °" Date: 10/19/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal farm and sufficiency:
DocuSigned by: l
Office of the County Attorne , 6&)rt. K6�t kis Date: 10/19/2016
EAAM33ED&A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd tr orangecountynegov
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 6/16 5
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