HomeMy WebLinkAboutR 2019-014 AMS - Phoenix Fire Protection library inspection DocuSign Envelope ID:5396B47A-057B-4633-B5CF-5BB5456DE2B9
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Phoenix Fire Protection Party/Vendor Contact Person: Harry Farrell Contact Phone: 919-774-
3042 Party/Vendor Address: PO Box 2881 City Sandford State:NC Zip: 27331 Department: AMS Amount: 900.00
Purpose: Sprinkler Inspections Budget Code(s): 10240320-630000 Vendor#60476 (N/A if new vendor) Vendor is
a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective
Date 1/3/2019 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Fmv& pbV1alA.ln. 1/4/2019
Department Director's Signature Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
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 of79�!"_
' m CbV'In,t,{fb o cusdards,specifications,and requirements:
Office of the Risk Management Officer Date:1/4/2019
Financial Services
This instrument has been pre-audited in them 2'gMfV1'by the Local Government Budget and Fiscal Control Act:
lq.ta 0 1/4/2019
Office of the Chief Financial Officer Al Date:
Legal Services
This agreement is approved as to legal forPFAAAn
R Wu��ncy:
Office of the County Attorney 'RIMRAR4Rri Date: 1/8/2019
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4