HomeMy WebLinkAboutR 2019-624 OCPT - Alsco motor pool uniform rental DocuSign Envelope ID:9873F8FB-347E-4F54-96C2-C188C918673F
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Alsco Inc. Party/Vendor Contact Person: Tim Richard Contact Phone: (919) 596-2186
Party/Vendor Address: 1720 E Lawson St, City Durham State: NC Zip: 27703 Department: Transportation Services
Amount: $2,441.40 Purpose: Uniforms Rental Budget Code(s): 630000/10435020 Vendor # 16942 (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 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 Date: 9/12/2019
722E5DDOA625490 .
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 insurar DocuSigned by: rations,and requirements:
1
US66 (��6 9/12/2019
Office of the Risk Management Officer 7FDC F91 76800498. Date:
Financial Services
This instrument has been pre-audited in the manner r Docusigned by: remment Budget and Fiscal Control Act:
9/13/2019
Office of the Chief Financial Officer 7NE5181ACC1409. Date:
Legal Services
This agreement is approved as to legal form and suffi ' h Docusignedby:
Office of the County Attorney db
I GS [NA, Date: 9/13/2019
328DC480549A4F5..
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