HomeMy WebLinkAboutR 2019-017 AMS - First Fire Protection Hillsborough Commons DocuSign Envelope ID:891DF1DD-EFOF-4B48-A9F1-20077DB155EE
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: First Fire Party/Vendor Contact Person: Christopher Register Contact Phone: 919-303-3000
Party/Vendor Address: PO Box 10594 City Raleigh State: NC Zip: 27605 Department: AMS Amount:
$10,500.00 Purpose: Hillsborough Commons Fire System Upgrade Budget Code(s): 61370035-880000-30001
Vendor#65499 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)
New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
DocuSigned by:
firs M�RI
Department Director's Signature Date: 1/9/2019
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of' """Wards,specifications,and requirements:
17�7M"9176800498
A, (hnulTb 1/9/2019
Office of the Risk Management Officer _ Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act; DocuSigned by:
+� �
Office of the Chief Financial Officer �� Date:1/9/2019
Legal Services
This agreement is approved as to legal qm$W,9u(Fyciency:
Office of the County Attorney �bL rbbtyfS Date:1/10/2019
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
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