HomeMy WebLinkAboutR 2019-194 AMS - Harris Brothers Electrical ES Trailer Electrical Service DocuSign Envelope ID:9F4A9FCF-54CC-46AF-8928-75CFFCE670D0
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 i Rd City Durham State: NC Zip: 27705
Department: AMS Amount: $5,009 Purpose: Install electrical Service for Mobile Office Trailer Budget Code(s):
61370035-880000-10068 Vendor# 55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 3/21/2019 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:
C21EFMAGD4�4EF_
� Off),4aln. 3/22/2019
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Department Director's Sig Date:
.
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:
Risk Management
This agreement is approved for sufficienc} DocuSigned by: ds,specifications,and requirements:
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Office of the Risk Management Officer- 7FDCF9176800408. Date:3/22/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Offic CC 41 � Date: 3/2 5/2019
7NE5181ACC1400.
Le,aal Services
This agreement is approved as ' Docusigned by: ' ficiency:
Office of the County Attorne C�66A, K6 Y S Date:3/25/2019
EAA3D33ED8AW5..
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 5