HomeMy WebLinkAboutR 2019-470 AMS - FESS annual fire extinguisher service DocuSign Envelope ID:C69A4C19-8C45-4ADF-B597-BCF80FOD3FFB
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: FESS Fire Protection Party/Vendor Contact Person: Ryan Willoughby Contact Phone: 919-
469-8099 Party/Vendor Address: 131 International Dr City Morrisville State: NC Zip: 27560 Department: AMS
Amount: $6182.10 Purpose: Annual Fire Extinguisher Inspections Budget Code(s): 10240320-630000 Vendor#
60454 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑
Renewal ❑ Amendment ❑ Effective Date 7/16/2019 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:
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Department Director's Signature 61A. PO*an. Date: 7/16/2019
21EF373ACD454EF..
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 insui DocuSigned
_by:
. fications,and requirements:
�USa '-^'r�tb 7/17/2019
Office of the Risk Management Officer 7FDCF9176800498. Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
7/17/2019
Office of the Chief Financial Officer (`7DaEs,s,Are,aas. Date:
Legal Services
This agreement is approved as to legal fourD
DocuSigned by:
b6, K6� 7/17/2019
Office of the County Attorney EA A, & Date'
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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