HomeMy WebLinkAboutR 2019-746 AMS - Herndon Resturant Equipment ES cooler repair DocuSign Envelope ID: E3F790E6-E41D-4A21-9ACC-8F14487804C1
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Herndon Resturant Equipment Co. Inc. Party/Vendor Contact Person: Dale Ellis
(daleghemdonbros.us) Contact Phone: 919.477.0451 Party/Vendor Address: 4310 N. Roxboro St. City Durham
State: NC Zip: 27704 Department: Emergency Services Amount: $1,251 Purpose: Replace evaporator coil on cooler
Budget Code(s): 10750020-571000 Vendor# 52106 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 10/8/19 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:
iIXA� )Nts 10/10/2019
Department Directors SignaturL]su .-RP Date:
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: This is an urgent repair due to the nature(use)of the cooler.Work has been authorized to proceed pending
contract approvals.
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:
Qt su �evtu�{6 Office of the Risk Management Office, vaR Date: 10/10/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
PLo�vsa��
10/11/2019
Office of the Chief Financial Officew Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
b � 10/11/2019
Office of the County AttorneyDate:[ wa.p
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