HomeMy WebLinkAboutR 2019-026 Emergency Svc - Eno Fire Dept base operations use agreement i
Q
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name : Eno Fire Department Party/Vendor Contact Person : Chief Keith Ham Contact Phone :
Party/Vendor Address : 5019 Old Hillsborough Rd . City Durham State : NC Zip $ 27705 Department :
Orange Cognly Emergency Services Amount : Monthly payment waived for a period of eighteen months from
effective date of this agreement — after that, $ 500 . 00 per month Purpose : Co - location Budget Code (s) : 10757520 -
630000 Vendor # (N/A if new vendor) Vendor is a BOCC consultant ? Yes ❑ No ❑ Contract Type :
(Check one) New ® Renewal ❑ Amendment ❑ Effective Date 01 /01 / 19 Approved by Board Yes ® No ❑
Agenda Date : 11 /02/2017
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 :
Department Director ' s Signature L - Date :
Agreements for emergency services or repair are not su ec It , 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/sofhvare 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 :
Financ ' 1 S vices
This instrument has been pre - audited in the er r it d by the Local Government Budget and Fiscal Control
Act :
Office of the Chief Financial Officer �_ _ Date : Z Z
Legal Services
This agreement is approved as to legal fo d sufficiency :
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 : 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