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HomeMy WebLinkAboutR 2019-525 AMS - Duct Doctor unit cleaning DocuSign Envelope ID:92842175-DOOA-4311-BO62-209FFA3A94C8 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Duct Doctor USA of Charlotte Party/Vendor Contact Person: Matt Campbell (matt.campbell(a)ductdoctor.com) Contact Phone: 919.822.2218 Party/Vendor Address: 8508 Park Road# 128 City Charlotte State:NC Zip:28210 Department: AMS Amount: $4,200.00 Purpose: AHU&RTU Cleaningto o keep units running Budget Code(s): 61370035-880000-30018 Vendor # 65734 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/1/19 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: Department Director's Signature ��""�d"" Dater/zs/zo19 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: N/A 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 Office Ksx bn1t f° Date:7/26/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: PLo�vsa�� Office of the Chief Financial Officer �N Date: /z9/zo19 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney k�rov s Date: 8/1/2019 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 4