HomeMy WebLinkAboutR 2019-012 AMS - Intellicom Whitted ES cables DocuSign Envelope ID:04DB30E9-D54D-4F95-8391-C9A6A248DC20
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Intellicom. Inc Party/Vendor Contact Person: Mark Vaughn Contact Phone: 919-957-1949
Party/Vendor Address: 4301 Bennett Memorial Rd City Durham State: NC Zip: 27703 Department: AMS Amount:
2560.00 Purpose: Whitted ES Cables Budget Code(s): 10240320-570001 Vendor # 44533 (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 fo atav
�'Vav<.1S �`�� Date: 1/2/2019
Department Director's Signature
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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 insgaa nSe sIgpdards,specifications, and requirements:
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Office of the Risk Management Officer USA, rb Date:1/3/2019
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Financial Services
This instrument has been pre-audited in the m gX.Kq@ q�l by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer rq-4a 0.1 �2oZ Date: 1/4/2019
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Lezal Services
This agreement is approved as to legal form an y6y:
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Office of the County Attorney IQbb v s Date: 1/8/2019
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin-ep rsoll a orangecountync.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 6/18) 4