HomeMy WebLinkAboutR 2019-270 AMS - Mobile Communications change order request DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Mobile Communications America Party/Vendor Contact Person: Bruce Williams(Brucewilliams(a),callmc.coir.
919.786.0891 Party/Vendor Address: 315 Kitty Hawk Drive City Morrisville State: NC Zip: 27560 Department: AMS/ES )
Purpose: Change order to decrease scope of work by remvoin,g the console removal Budget Code(s): 61370035-880000-10068 Ven(
if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ® Amendment [
5/7/19 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
PSignature ]iva�� fvts 5/8/2019
Department Directors [sIX Date:
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and
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Office of the Asset Management Director[,IX Date: 5/9/2019
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Office of the Risk Management Office QGs� �a��#f° Date: 5/9/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Office "` Date:5/9/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney �' wf s Date:5/10/2019
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 10/17