HomeMy WebLinkAboutR 2019-126 Emergency Svc - Don Hills Lock & Safe Shop ES Safe DocuSign Envelope ID:97C6BOCE-B1BA-4D4C-998E-96873287058F
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Don Hill's Lock & Safe Shop Party/Vendor Contact Person: Tina (safeke mangaol.com)
Contact Phone: 919.286.0253 Party/Vendor Address: 2602 Hillsborough Road City Durham State: NC Zip: 27278 Q�
Department: AMS/ES Amount: NTE $500 Purpose: Safe Rental for(3) months Budget Code(s): 61370035-880000-
10068 Vendor#56266 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check
one)New ® Renewal ❑ Amendment ❑ Effective Date 2/22/19 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:
o ss any:
Department Director's Signatur Date: 2/21/2019
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: N/A
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 insurance standards, specifications,and requirements:
o s'g ea by:
Office of the Risk Management Office gUsa(muff6 Date:2/27/2019
rlC,�
Financial Services
p This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
f�s o sg a by:
Office of the Chief Financial Officer �"" Date:2/28/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
o ss any:
Office of the County Attorney Mu PkA Date: 2/28/2019
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