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HomeMy WebLinkAboutR 2019-660 AMS - Intellicom data port controls upgrade DocuSign Envelope ID: E36B7617-9A73-4483-82EF-8ECBD677C82F ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Intellicom, Inc. Party/Vendor Contact Person: Mike Bullock (mikeg_intellicomusa.com) Contact Phone: 919.957.1949 Party/Vendor Address: 2902 S. Miami Blvd, Ste C City Durham State:NC Zip: 27703 Department: AMS Amount: $1,577.00 Purpose: Install data ports for new siemens panels for controls upgrade Budget Code(s): 61370035-800000-30018 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No ® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 9/30/19 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 Signatur Sf�n 91R,J{ Date: 9/25/2019 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 Office �,, WLVW Date:9/25/2019 Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: Office of the Risk Management Office l s'bn1t f° Date:9/25/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: PL Office of the Chief Financial Officer Date:9/26/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney �' ` ° Date: 9/26/2019 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