HomeMy WebLinkAboutR 2020-270 AMS - Custom Door & Gate motor pool DocuSign Envelope ID:C8lB04D3-907C-4F2A-9BAE-5F635C5EE6CE
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Custom Over Head Doors Party/Vendor Contact Person: Jarrod Luck Contact Phone: 919-
876-4555 x122 Party/Vendor Address: PO Box 18628 City Raleigh State: NC Zip: 27619 Department: AMS
Amount: $7453.99 Purpose: To furnish and install sectional doors at the Old MotorPool Budget Code(s):
10240320-570000 Vendor#61121 (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:
UocuSigned by:
Department Director's Signatu Siw• 9MA Date: 4/17/2020
Agreements for emergency servic 2D❑9C❑6a81s44C5.. 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 insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Offi SUS& Chvm& Date:4/20/2020
7FDCF9176800498...
D.S
r Financial Services
l/ This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Offic t rt�j Date: 4/23/2020
7NE5181 ACC 1409...
LeEal Services
This agreement is approved as—I---' f ".a —'ricienc :
g Pp Docusigned by: y
Office of the County AttorneC�6%,w 6l.Vl V, Date: 4/23/2020
4C5F3CDDF0694F6...
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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