HomeMy WebLinkAboutR 2019-264 AMS - Intellicom ES remediation trailer DocuSign Envelope ID:52D9F43B-A272-4CB5-A7BA-52014DB5B3EF
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ORANGE COUNTY—DEPARTMENT USE ONLY j
Party/Vendor Name: Intellicom Communication Specialists Party/Vendor Contact Person: Mike Bullock Contact
Phone: 919-614-8110 Party/Vendor Address: 2902 South Miami Boulevard, Suite C City Durham State: NC Zip:
27703 Department: AMS Amount: $550 Purpose: ES remediation: wiriting logistics 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 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:
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Department Director's Signature Date:4/30/2019
Agreements for emergency services or repair are not sunjec04to me aoove 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: This work was approved by the former Asset Management Services Director,and funding advice was
finalized 04/29/2019 by new director for CIP.
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:
DocuSigned by:
Office of the Risk Management Officer U$66 (,6�6 Date: 5/2/2019
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Financial Services �L
This instrument has been pre-audited in the m DocuSigned by: T cal Government Budget and fiscal Control Act:
Office of the Chief Financial Officer , Date: 5/3/2019
7NE51S1ACC14N.
Legal Services
This agreement is approved as to legal form and suffciencv:
DocuSigned by:
Office of the County Attorney �61LVI Pkyfs Date: 5/6/2019
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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