HomeMy WebLinkAboutR 2019-622 Planning - Custom Controls Unlimited Lake Orange modem upgrade DocuSign Envelope ID:80DF9584-55OF-4149-B79B-E7660248041B
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Custom Controls Unlimited, Inc. Party/Vendor Contact Person: Devin Carroll, Vice President
Contact Phone: 919-661-5556 Party/Vendor Address: 2600 Garner Station Blvd. City Raleigh State: NC Zip: 27603
Department: Planning Amount: $1,663.00 Purpose: SCADA Modem Upgrade at Lake Orange Dam Site Budget
Code(s): 10695020-720013 Vendor# 63654 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date August 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:
9/10/2019
Department Director's Signature CE, `� Date:
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 insurance standards,specifications,and requirements:
QUS&chw b 9/10/2019
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Sig by:
Office of the Chief Financial Officer� ene�" Date:9/11/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney C J&w's enm& Date:
ffi ,��
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