HomeMy WebLinkAboutR 2019-713 AMS - Walker Auto Supplies parts DocuSign Envelope ID:4707631 D-C830-4BA5-B9EB-926C6FB1 F07D
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Walker Automotive Supply, Inc. Party/Vendor Contact Person: John Kelley Contact Phone:
919-995-6635 Party/Vendor Address: PO Box 19348 City Raleigh State: NC Zip: 27619 Department:
AMS/OCPT Amount: $55,617 Purpose: Annual Parts Supplier Budget Code(s): 10240320-630000 (40%),
10240520-630000 (10%), and 10435120-630000 (50%)_ Vendor # 58664 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective
Date 07/01/2019 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: os
Q� 10/3/2019
Docu3 igned by Dom by,
Department Director's Signatur� �1� QVtn Date:10/4/2019
Agreements for emergency service,._122E5DD011126 Ml. t 2D�9CDB1913! C5 _mation. 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 insurance standards,specifications,and requirements:
DocuSigned by:
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Office of the Risk Management Office aUsa ( Q�6 Date:10/7/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-auditcd in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by: ,
Office of the Chief Financial Office Date:
10/7/20C19
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7D4E5181Ar-C1400
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney �661 Pkku s Date: 10/8/2019
EAA3MaED8AW&-
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
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