HomeMy WebLinkAboutR 2019-492 Solid Waste - Intellicom scalehouse DocuSign Envelope ID:91A75344-B731-4B9F-B769-EF95999DBF3C
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Intellicom, Inc. Party/Vendor Contact Person: Mike Bullock Contact Phone: 919.957.1949
Party/Vendor Address: 2902 S. Miami Blvd., Ste. C City Durham State: NC Zip: 27703 Department: Solid Waste
Amount: $1,616.00 Purpose: Provide, Install and configure DVR and Camera Budget Code(s): 50350020-570000
Vendor#44533 (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:
DaeuSigned by:
Department Director's Signature rb�� wi�.�.Ak%S Date:7/23/2019
Agreements for emergency services 88E8sF843690496. ct 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:
DocuSigned by:
Office of the Risk Management Officer aUsa cbb Date:7/24/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the manner rennired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer � '��'� Date:7/25/2019
7NE5181 ACC 1400
Legal Services
This agreement is approved as to legal form and sufficiency:
D"uSigned by:
Office of the County Attorney gwku, f-A.Ytt, �S(b Date: 7/25/2019
079A4D525C0F4FB.
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