HomeMy WebLinkAboutR 2019-549 OCPT - GoTriangle GoPass service agreement DocuSign Envelope ID:482E99B7-9A3A-4E92-AA6E-2549FE065DDE
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: GoTriangle Party/Vendor Contact Person: Suzanne Clyburn Contact Phone: 919-314-8747
Party/Vendor Address:4600 Emperor Blvd, Suite 100 City Durham State: NC Zip: 27703 Department: OCPT
Amount: $500.00 Purpose: Transit Passes Budget Code(s): 63000;10435020 Vendor # 54931 (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 DocuSigned by:
��, — �--- 8/6/2019
Department Director's Signature 722E5DDOAB25490 . Date:
Risk Management
This agreement is approved for sufficiency of insurai DocuSigned by: .ations,and requirements:
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USa �,4Wt.th 8/8/2019
Office of the Risk Management Officer Date:
7F6CF917E800498.
Financial Services
This instrument has been pre-audited in the manner r oocusigned by: ernment Budget and Fiscal Control Act:
!=81Office of the Chief Financial Officer �acc,zw' �. Date: 8/8/2019
Legal Services
This agreement is approved as to legal form and suffiE4035CB8304C,A4M
' oocusigned by:
Office of the County Attorney o 4,0k_`- Date: 8/15/2019
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion sin erg sollgoran eg count.rmc._og_v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
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