HomeMy WebLinkAboutR 2019-639 IT - Custom Controls Unlimited Lake Orange SCADA service DocuSign Envelope ID:552AC7A3-1BOC-4D85-823C-370394803F33
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Custom Controls Unlimited, Inc Party/Vendor Contact Person: Devin Carroll Contact Phone:
919-661-5556 Party/Vendor Address: 2600 Garner Station Blvd City Raleigh State:NC Zip: 27603 Department: OC
Planning and Inspections Amount: $737.00 Purpose: Management of hosted SCADA system 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 O1July2019 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-
Jtm � 9/16/2019
Department Director's Signature C11eA91E73Ae4DF.. 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 conten`--DocuSig�a-ey`:'
im 4�
Office of1JJC11&N)1E7aA64DF__
the Chief Information Officer Date: 9/16/2019
Risk Management
This agreement is approved for sufficiency of insurani 'oo,,usig,,ea_ b by:
.�— itions,and requirements:
Office of the Risk Management Officer USX Cb Date: 9/16/2019
7FDCF917e800498.
Financial Services
This instrument has been pre-audited in the manner DocuSigned ay: - - )vemment Budget and Fiscal Control Act:
('� 0�� 9/17/2019
Office of the Chief Financial Officer Date:
7D4E5181 A=400.
Legal Services
This agreement is approved as to legal form and suff D-uSigned by:
�:IGS bv�Office of the County Attorney i7 L Date: 9/17/2019
3286C48U549A4F5..
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