HomeMy WebLinkAboutR 2019-916 AMS - Harris Bros Electric SHSC resource room DocuSign Envelope ID: EE87DEA1-C1F1-403D-AFD6-7EE4F64EE88B
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Harris Bros. Electric & Controls, Inc Party/Vendor Contact Person: Calvin Harris Contact
Phone: 919-220-7009 Party/Vendor Address: 2712 Hillsborough Rd City Durham State:NC Zip: 27705 Department:
AMS Amount: $2,910.00 Purpose: Southern Resource Room Budget Code(s): 10240320-570001 Vendor # 55477
(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 12DD9CD6B81844C5
ip• 9MA Date:12/18/2019
.
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:
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 insu Docusianed_by:
. ifications,and requirements:
9US66 (,bVln.t,{�6 12/19/2019
Office of the Risk Management Officer 7FDCF91768004M. Date:
Financial Services
This instrument has been pre-audited in the manrt Docusigned by: Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer r 0 . Date: 12/19/2019
704E51S1ACC1409. -
Legal Services
This agreement is approved as to legal forty DocuSigned by,
�66A, K6kC '6 12/19/2019
Office of the County Attorney EAA3D33ED8aa4s3.. 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