HomeMy WebLinkAboutR 2019-442 AMS - Pronet Whitted door repair DocuSign Envelope ID:86B251A7-A1C6-4DED-807D-F8CC7AD67489
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: ProNet Systems, Inc Party/Vendor Contact Person: Alan Jelley Contact Phone: 919-277-
2070 Party/Vendor Address: 3200 Glen Royal Rd City Raleigh State: NC Zip: 27617 Department: AMS
Amount: $5,208.66 Purpose: Whitted 2'Floor access door repair Budget Code(s): 10240320-570001 Vendor#
57979 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑
Renewal ❑ Amendment ❑ Effective Date 7/15/2019 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:
DocuSigned by-
Department 06V*aln.�
Department Director's Signature Date:7/12/2019
21 E FMACD454EF..
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 insura---- &omuSignea_by:�-b- r cations,and requirements:
Office of the Risk Management Officer Eaus. LQ►►fi Date: 7/12/2019
7FDCF9176800498.
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 41rx.w4/1ra. Date: 7/12/2019
7NE5181ACC1400
Legal Services
This agreement is approved as to legal form a DocuSigned by:
Office of the County Attorney E 1�66A, K6AA3D33ED8AW5.. Date: 7/12/2019
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 12/18
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