HomeMy WebLinkAboutR 2019-438 Emergency Svc - Orange Rural Fire Dept colocation agreement DocuSign Envelope ID:93FB2B9B-BEEA-484D-B662-57D5D8AA231B
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Orange Rural Fire Department Party/Vendor Contact Person: Chief Jeff Cabe Contact
Phone: 919-732-7911 Party/Vendor Address: 206 S Churton St. City Hillsborough State: NC Zip: 27278
Department: Orange County Emergency Services Amount: $3,000.00 Annually Purpose: EMS Supervisor Co-
location with fire department Budget Code(s): 1077520-630000 Vendor#NA (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:
Department Director's Signature_1[ yffilf $ Date:7/12/2019
5655BC89iA64473.
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: L)ocusigned by:
Office of the Chief Financial Officer 4 704E51S1ACC1409. � Date: 7/12/2019
Legal Services
This agreement is approved as to 1 bocusigned by: ,y:
Office of the County Attorney_ ` '°} - Date: 7/12/2019
4035CB8304CA4Ae
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