HomeMy WebLinkAboutR 2019-066 AMS - Applied Drives Whitted VFD DocuSign Envelope ID: F23214B8-OE00-4B20-8C6A-OEB9A497A1DC
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Applied_Drives Inc Party/Vendor Contact Person: Dennis Hayes Contact Phone: 704-573-
2324 Party/Vendor Address: PO Box 690245 City Charlotte State: NC Zip: 28227 Department: AMS Amount:
$10,500.00 Purpose: Whiffed VFD Budget Code(s): 10240320-570000 Vendor # 64802 (NIA if new vendor)
Vendor is a BOCC consultant? Yes ❑No❑ Contract Type:(Check one)New❑ Renewal ❑ Amendment ❑
Effective Date 2/1 1120 1 9 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:
Department Director's Signature FLv&
06vm ttn, Date: 2/6/2019
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 hardwarelsoftware 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' fri�n�+ }lards,specifications,and requirements:
Q�tSa CbVt�,t,{fb
Office of the Risk Management Officer_ ,FDeE���esoe4 ... Date'2/6/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: [:�
cuSigned by:
Office of the Chief Financial Officer 41N
01n� Date: 2/6/2019
Legal Services
This agreement is approved as to legal a�aslgiency:
Office of the County Attorney Da(e.2/7/2019
EAA3D33ED8A8465...
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:
1
ReviBed 12118
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