HomeMy WebLinkAboutR 2019-915 AMS - Intellicom 405 Meadowlands internal cabling DocuSign Envelope ID:90D6989A-A8CC-4862-9E6F-512DDOEAAF6E
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock Contact Phone: 919-957-1949
Party/Vendor Address: 2902 S Miami Blvd Ste C City Durham State: NC Zip: 27703 Department: AMS Amount:
3 153.00 Purpose: 405 Internal Cabling Budget Code(s): 61370035-880000-10069 Vendor # 44533 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑
Amendment ❑ Effective Date 01/13/2020 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 Fsip• kmh Date:12/19/2019
s7"uBa81844C5.
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:
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 insurar-- -66c-„s;9ppneQ-by: - 6-`�-.ations,and requirements:
Office of the 1Risk Management Officer Usa L Date: 12/19/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the man Docusigned by: Government Budget and Fiscal Control Act:
0 12/19/2019
Office of the Chief Financial Officer 7D4E5181ACC1409. Dat(. -
Legal Services
This agreement is approved as to legal form a DocuSigned by:
, 66A, K6�C '6 12/19/2019
Office of the County Attorney EAA3D3sED8AW5.. 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 11/19 4