HomeMy WebLinkAboutR 2019-921 IT - Intellicom 405 Meadowlands internal cabling DocuSign Envelope ID:29D5036B-2FDE-43C4-9872-7AC3C2BEF79D
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: IT Amount:
3 153.00 Purpose: Internal Cabling for 405 Meadowlands Budget Code(s): 61370035/880000/10077 Vendor#44533
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date 12/18/2019 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:
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DocuSigned by:
Department Director's Signature Date:12/18/2019
C11&A91E73A64DF..
Agreements for emergency services or repair are not sunject tome 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 an( Jim 4�DocuSigned by:
J
Office of the Chief Information Officer C116A91E73A64DF.. Date: 12/18/2019
Risk Management
This agreement is approved for sufficiency of insurar- DocuSigned ay----""ations,and requirements:
a
Office of the Risk Management Officer USA �,4Wt&6 Date:12/19/2019
7FQCF917E800498.
Financial Services
This instrument has been pre-audited in the n s�"�ocuSigned by: T ical Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:12/19/2019
704E5181ACC1469.
Legal Services
This agreement is approved as to legal f61 DocuSigned by,
Office of the County Attorney D328DC490549A4F5.
xmts ` NA,
� Date: 12/19/2019
.
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