HomeMy WebLinkAboutR 2019-671 AMS - Intellicom Whitted conference room projector DocuSign Envelope ID: FBDOF367-7A44-41CA-B772-4BCA78DCBCAA
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Intellicom Communication Specialists Party/Vendor Contact Person: Mike Bullock Contact
Phone: 919-614-8110 Party/Vendor Address: 2902 South Miami Boulevard, Suite C City Durham State: NC Zip:
27703 Department: AMS Amount: $2,291.00 Purpose: Whitted 240 conference room projector Budget Code(s):
10240320-570001 Vendor#44533 (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: 9/23/2019
Agreements for emergency services or repair are no sui jec toine 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 insur DocuSigned
_by:. 'fications,and requirements:
I
66 �,DVln.t 6 9/30/2019
Office of the Risk Management Officer Datc:
7FDCF9178800495"
Financial Services
This instrument has been pre-audited in the mai Docusign ea ay: - d Government Budget and Fiscal Control Act:
4 . 9/30/2019
Office of the Chief Financial Officer Date:
704E51S1ACC1409" — -
Legal Services
This agreement is approved as to legal fo DocuSigned Gy:
, 66A, K6kY S 9/30/2019
Office of the County Attorney EAA3D33ED8AW5"" Date:
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