HomeMy WebLinkAboutR 2019-134 Emergency Svc - Harris Brothers provide dedicated power to Churton Grove cubicals DocuSign Envelope ID: 141732AE-98DD-42B0-B3F4-E76AB4233C9F
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Harris Brothers Electric and Controls, Inc. Party/Vendor Contact Person: Calvin Harris Contact
Phone: 919-286-7592 Party/Vendor Address: 2712 Hillsborough Rd City Durham State:NC Zip: 27705 Department:
AMS Amount: $658.00 Purpose: Provide dedicated power to Cubical Budget Codc(s): 61370035 880000 10068
Vendor# 55447 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New® Renewal❑ Amendment ❑ Effective Date 2/28/2019 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:
UocuSigned by:
Department Director's Signaturetl� yffy u Date: 3/1/2019
.
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 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 sufficienc WocuSignted_by:
. rds,specifications,and requirements:
aUsa (D 6 3/1/2019
Office of the Risk Management Office 7FDCF9176900498. Date:
Financial Services
This instrument has been pre-audited DocuSigned by: �the Local Government Budget and Fiscal Control Act:
4 3/1/2019
Office of the Chief Financial Oftice 7NE5181ACC1400. Date:
Legal Services
This agreement is approved as to UocuSigned by: ciency:
, 66A, K6�C '6 3/4/2019
Office of the County Attorney EAA3D33ED8A84s5.. Date:
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