HomeMy WebLinkAboutR 2019-521 AMS - Otis Elevator Whitted repair DocuSign Envelope ID:47D12065-7220-4277-A47F-FC1DACOCA54F
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ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Otis Elevator Company Party/Vendor Contact Person: Kimberly Willoughby Contact Phone: 984-215-
0643 Party/Vendor Address:200 Perimeter Park Drive Suite A City Morrisville State: NC Zip: 27560 Department: AMS
Amount: $129,578 Purpose: Replace elevator and upgrade cab interior at WHSC Bldg A Budget Code(s): 61370035-880000-
30001 Vendor # 50936 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Z
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:
DocuSigned by:
Department Director's Signature L0L Off),40L Date:8/2/2019
Agreements for emergency services or rep 21EFMAGD454EF.. he 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:
Risk Management
This agreement is approved for sufficiencv of insurance standards,specifications,and requirements:
DocuSigg'nRed__by:
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Office of the Risk Management Office aUSA, '-^'r�t6 Date:8/2/2019
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DSFinancial Services F
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSlgned by:
8/2/2019
Office of the Chief Financial Officer 1f7FMFn1.9'ACC14N
6.z - Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Docusig nod by:
Office of the County Attorney _�� o Date: 8/2/2019
FAA3n33F0SA:sde�
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg soll(a-)oran eg countync.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 12