HomeMy WebLinkAboutR 2019-789 AMS - Intellicom Inc. ES building data cabling DocuSign Envelope ID: B40D2E80-F2D7-44F3-9F93-7196AlDD9372
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Intellicom, Inc. Party/Vendor Contact Person: Mike Bullock (mike(a)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: $32,151.00 Purpose: Install Data Cabling at EMS Building Budget Code(s): Sd
61370035-880000-10068 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 11/1/19 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 viuZ�Yffl,LS Date:10/24/2019
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
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Office QGs� �a" R Date:10/24/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
PL Act:
Office of the Chief Financial Officer e' -N "' Date:10/25/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney C'� rovh Date:10/25/2019
4 .,=-R
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 5