HomeMy WebLinkAboutR 2019-054 AMS - Keenan Electrical contractors West Campus DocuSign Envelope ID:7DO44905-CC77-4EOC-84C3-675B48A32380
ORANGE COUNTY-DEPARTMENT USE ONLY
PartyfVendor Name: Keenan Williams,Electrical Contractor PartyfVendor Contact Person: Keenan Williams Contact
Prone: 919-614-0203 Party/Vendor Address: 730 Eagle Point Rd City Pittsboro State:NC Zip: 27312 Department:
AMS Amount:$875.00 Purpose:WCOB Electrical Budget Code(s): 10240320-570000 Vendor#t 65426 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date 2/4/2019 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:
Department Director's Signature 1W PbV*aaA. Date: 1/30/2019
Agreements for emergency services or repair a.-..:.1.E�:.'�°.CO��E�u. .,bove 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 Technolo0es
(applicable only to hardwarelsofhvare 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:
Lusk Management
This agreement is approved for sufficiency of pacu5igned_by:.A—A" specifications,and requirements:
Office of the Risk Management Officer [,USX fib b Date:1/30/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-audited in the DocuSigned by: `,ocal.Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 41 .4/� Date:1/30/2019
7D4E51S1 ACC 1400-
Legal Services
This agreement is approved as to legal fo �6� K6kk5 1/30/2019
DocuSigned by:
Office of the County Attorney EAA3D33EDSAW5.. Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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