HomeMy WebLinkAboutR 2019-111 AMS - Nelson Alarms Churton Grove DocuSign Envelope ID: F638EDF1-1 C98-4839-8265-Fl 7C1 FB2CEBE
DS
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Nelson Alarms,Inc Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336-685-
0949 Party/Vendor Address:PO Box 10 City Randleman State:NC Zip: 27317 Department: AMS Amount: $671.88
Purpose: add security s ste Budget Code(s): 61370035 880000 10068 Vendor # 39886 (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:
Department Director's Signature 'Lila, pb�� Date 2/20/2019
Agreements for emergency services or re 21 E 3ACD454EF-- 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 ins»rnnoP ctnndnrrlc -nPcifications,and requirements:
DocuSigned by:
�US& �,DV1n.��b
Office of the Risk Management Officer Date: 2/20/2019
7FDC F91 76800498- Ir
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Financial Services �
This instrument has been pre-audited in the ma,-"-- 66-cuSigned ay: `'"" T ""-i1 Government Budget and Fiscal Control Act:
2/22/2019
Office of the Chief Financial Officer lt� 4 " Date:
7D4E5181Ar-C1400-
Le2al Services
This agreement is approved as to legal form and sufficiencv:
DocuSigned by:
Office of the County Attorney �b� K6�u'l5 Date: 2/22/2019
EAA3MaEDSAW&-
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 4