HomeMy WebLinkAboutR 2019-526 AMS - Siemens annual agreement DocuSign Envelope ID:A9E76943-AF44-4034-A933-05655779889A
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Siemens Industry, Inc Party/Vendor Contact Person: Greg Collins Contact Phone: 910-728-
7678 Party/Vendor Address: 215 Southport Dr Suite 900 City Morrisville State: NC Zip: 27560 Department:
AMS Amount: $51,049.00 Purpose: Annual Siemens Services Budget Code(s): 10240320-630000 Vendor #
53325 (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:
�W POI't+kNA'
Department Director's Signature Date: 7/25/2019
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 ins Docusigned"ay:" ;cifications,and requirements:
Q�ts�'Office of the Risk Management Officer 7FDCF9,76800498" Date: 7/29/2019
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 the Chief Financial Officer 7DaE5,s,Acc,aas" Date:8/1/2019
Legal Services
This agreement is approved as to legal form DocuSigned by:
Office of the County Attorney �66A, K6k�'6 EAA3D33ED&AW5"" Date.8/5/2019
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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