HomeMy WebLinkAboutR 2019-715 Tax - Keenan Williams Electrical install projector screen DocuSign Envelope ID: EFOF4850-10E3-41OF-98DB-CFFA02CD2335
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Keenan A. Williams Party/Vendor Contact Person: Keenan Willams Contact Phone: 919-614-
0203 Party/Vendor Address: 730 Eagle Point Road City Pittsboro State: NC Zip: 27312 Department: Tax
Administration Amount: 795 Purpose: Electrical and Mounting Projector Screen Budget Code(s): 10331020-630000
Vendor# 65426 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 9/24/19 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:
DocuSigned by:
Department Director's Signat NIn C wiAVt. Date 9/25/2019
Agreements for emergency sere 118992D18s224sa.. ect 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 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:
Office of the Risk Management Offs aUSA 10/8/2019
�,4Wt.t,{�6 Datc:
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the manner rennired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial OM 41.&1. Date:10/8/2019
704E5981ACC1409.
Legal Services
This agreement is approved as to leeal form and sufficiency:
DocuSigned by,
10/8/2019
Office of the County AttorC_4035CB8304CA4M
�,, fey, 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