HomeMy WebLinkAboutR 2018-756 AMS - Otis Elevator justice elevator repair Docusign Envelope ID ,; 75DE7265wDAF34484w873B3 40098EEOBD26 ( � q
ORANGE COUN TY--DEPARTMENT USE ONLY
Department
PartyNendor Name ; Otis Elevator PartyiVendor Contact Person : Nikki 3osey Contact Phone : 919481 - 1555
PartyNendor Address ; PO Box 730400 City Dallas Stake ; TX Z ' • 75373 Department; AMS Amount: $ 557 . 50 �� C`
Purpose : Justice Elevator Repair Budget Code(s) ; 10240320 = 570000 (��ndor #f 50936 (NIA if new vendor) 'vendor
is a BOCC consultant? Yes ❑ No [] Contract Type : (Check one) . , Renewal ❑ Amendment ❑ Effective
Date 10/22/ 18 Approved by Board Yes ❑ No ❑ Agenda Date :
This agreement is approved as to technical form and content:
Department Director' s Signature Date: ! ZO
Information Techno ] U es
(Applicahle only to hard vares'sojhvore 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 : ` l z93 / Pe
Financlial S6rvices
This instrument has been pre-audited in the ma er re u ' by the Local Government Budget and Fiscal Control Act ;
Office of the Chief Financial Officer Date: / / " Cheo '
Legal Services
This agreement is approved as to legal form and suff dige,,nu .
r
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 : singersalloran ecyunt, nc . 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 appry 5k 6119) ,�