HomeMy WebLinkAboutR 2019-604 AMS - Trades of the Triangle Hboro Commons TV mount DocuSign Envelope ID:3BE6B883-B8C3-41 EC-91 BF-FB29A23E2350
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Trades of The Triangle Party/Vendor Contact Person: Alexander Butorins Contact Phone: 919-
883-8468 Party/Vendor Address: 622 Latimer St City Hillsborough State: NC Zip: 27278 Department: AMS
Amount: NTE $1000.00 Purpose: Hillsborough Commons TV Mounting Budget Code(s): 10240320-570001 Vendor
# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑
Renewal❑ Amendment ❑ Effective Date 8/30/2019 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:
Department Director's Signature 9MA Date:8/20/2019
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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 insr -.-oocuSigned by:: _ ;ifications,and requirements:
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Office of the Risk Management Officer Date:9/5/2019
7FDCF9178800498.
Financial Services
This instrument has been pre-audited in the main Docusigned by: Government Budget and Fiscal Control Act:
0". . 9/5/2019
Office of the Chief Financial Officer 704E51S1ACC1409. Dat( -
Legal Services
This agreement is approved as to legal form a.DEAAM33EMA9405..
Docusigned by:
6Ll.W PklvfS 9/5/2019
Office of the County Attorney Date:
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