HomeMy WebLinkAboutR 2019-190 AMS - Intellicom ES trailer cabling DocuSign Envelope ID:611E22C1-26EE-4497-8BE6-60ABBB8AB5DF
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Intellicom, Inc. Party/Vendor Contact Person: Mike Bullock Contact Phone: 919-614-8110
Party/Vendor Address:2902 S. Miami Blvd Suite C City Durham State:NC Zip: 27703 Department: AMS Amount:
$500 Purpose: Cabeling of Trailer Budget Code(s): 61370035-880000-10068 Vendor#44533 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑
Effective Date 3/25/2019 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:
DocuSigned by:
�W, PbV*aaA. 3/25/2019
Department Director's Signatur Date:
27 EF373ACD454EF..
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-- -riiocusgned-ay:` -'ds,specifications,and requirements:
Office of the Risk Management Officer aCisa 'r'"h�aDate:3/25/2019
7FOCF9176800498.
Financial Services
This instrument has been pre-audited: I7ocusigned by: i the Local Government Budget and Fiscal Control Act:
.6 � 3/25/2019
Office of the Chief Financial Office 1ACC14 Date:
7D4E598d9.
Legal Services Services
This agreement is approved as ' ' DocuSigned by: ' fficiency:
Office of the County AttorneCEAA3D3aED8AW5--6� K6k'l5 Date: 3/25/2019
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