HomeMy WebLinkAboutR 2019-056 AMS - Intellicom ES cabing DocuSign Envelope ID:277C13A8-9A1A-4D58-A232-848A3869DB85
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:
550.00 Purpose: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 form a rbltS ,Sk ed by:
Department Director's Signature ravuS ftyvu Date: 1/30/2019
OA3E816126364B4...
Information Technologies
(Applicable only to hardware/software purchases or related set-vices)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 ,J. A"" b dFdss,specifications, and requirements:
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Office of the Risk Management Officer C,bvv�,e Date:1/30/2019
Financial Services
This instrument has been pre-audited in the ma bregijhwd by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � o '�" Date.1/30/2019
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Legal Services
This agreement is approved as to legal II g Apiency:
�btt I�OI�W�S Office of the County Attorney Date: 1/30/2019
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sheri Ingersoll upon completion: sin ersoll e oran eg countync.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:
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Revised 10/17(Mgr appry 5k 6/18) 4