HomeMy WebLinkAboutR 2020-202 Transportation - Swab Wagon Company DocuSign Envelope ID:C935184B-D090-4E31-8070-B347099417FF
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Swab Wagon Company Inc. Party/Vendor Contact Person: Fred Margerum Contact Phone:
717-362-4579 Party/Vendor Address: 44 S Callowhill Street City Elizabethville State: PA Zip: 17023
Department: Transportation Services Amount: 19,765 Purpose: Climate Controlled Animal Box Budget Code(s):
61215335-802000 Vendor # 570907 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 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:
2/20/2020
Department Director's Signature 722E5DDone254s0... 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:
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 sufficient oocuSigned by, rds,specifications,and requirements:
�Sa LpVlrt.��b 2/20/2020
Office of the Risk Management Officer �7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
4 . 2/20/2020
Office of the Chief Financial Officer 1acC,40s... Date:
Legal Services
This agreement is approved as t Docusigned by: :lency:
�6%f� �GVI v, 2/24/2020
Office of the County Attorney 4c5F3CD❑Foe94Fs... 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
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DocuSign Envelope ID:C935184B-D090-4E31-8070-B347099417FF
Revised 11/19
10