HomeMy WebLinkAboutR 2019-653 AMS - Infrared Inspections and Imaging scanning imaging for Hillsborough Commons DocuSign Envelope ID:3E770E82-6A5F-4B54-88EB-9EA5620471F7
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Infrared Inspections & Imaging, Inc. Party/Vendor Contact Person: Wesley Carter
(infraredinspections-imagingna,earthlink.net) Contact Phone: 252-305-0043 Party/Vendor Address: 1002 W Clam
Shell Drive City Kill Devil Hills State: NC Zip: 27948 Department: Hillsborough Commons DSS Amount: NTE
$1900.00 Purpose: Provide infrared scanning services for the Department of Social Services Building located at 113
Mayo Street, Hillsborough NC 27278. Budget Code(s): 61370035-870000-30002 Vendor # 65625 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 09/30/2019 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:
Department Director's Signature � t Qnn�k Date:9/17/zo19
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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: N/A
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:
Office of the Risk Management Office Ksx bn1t f° Date:9/21/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Office r�I-N Date:9/24/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney rovh Date: 9/24/2019
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