HomeMy WebLinkAboutR 2019-323 AMS - Design Element of Durham DSS vehicle loading signs DocuSign Envelope ID:9CC23CFF-lB9E-4A5E-9FBC-6DD72E9F9AE5
DS DS
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Design Element of Durham Party/Vendor Contact Person: Erick Saavedra Torres Contact
Phone: 919-383-3500 Party/Vendor Address: 3702 Hillsborough Road, Suite 1 City Durham State: NC Zip: 27705
Department: DSS Amount: $899.19 Purpose: DSS and loading/unloading signs for HBOC Budget Code(s):
10400120-629000 Vendor# 65142 (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:
Oocusigned by:
Department Director's Signature N �bMbw Date:6/5/2019
Agreements for emergency services or repair 7 DAE1E196A83M55 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 sufficiency of insurance standards, specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer aUS& cbvwh Date:6/6/2019
7FDCF917e800498. DS
Financial Services Ir
F
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 Officer
.61 .41� Date:6/6/2019
7D4E5981ACC1409.
Legal Services
This agreement is approved as to legal form and miffiriPnry
DocuSigned by:
,fsOffice of the County Attorney �bk Date/6/2019
EAA3D33ED&AW5..
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