HomeMy WebLinkAboutR 2019-329 Emergency Svc - Orange Grove station agreement DocuSign Envelope ID: E4B5FD19-D652-4A3B-AC06-FDA2578536CC
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Orange Grove Fire Department Party/Vendor Contact Person: Chief Steve
McCauley Contact Phone: (919) 967-5858 Party/Vendor Address: 6800 Orange Grove Rd. City
Hillsborough State: NC Zip: 27278 Department: Orange County Emergency Services Amount:
$6,000.00 Annually Purpose: Co-location with fire department Budget Code(s): 1077520-630000
Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type:
(Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 1, 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:
UocuSigned by:
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Department Director's Signature Date: 6/13/2019
5655BC891A434473.
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 sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Officer Date:
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 Officer ` oaa,acc,4as. Date: 6/13/2019
Legal Services
This agreement is approved as to le OocuSigned by:
Office of the County Attorney �635C68304A4A�� 8'O'CA4 Date: 6/13/2019
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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:
Orange County Orange Grove Fire Company Substation Agreement
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