HomeMy WebLinkAboutR 2014-551 AMS - Civil Consultants, Inc. for Due diligence consulting engineering services for Southern Branch Library project $6,000DocuSign Envelope ID: 5BAD1B7E- 132E- 4EDC- B1A7- DE8561E67E43
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Civil Consultants, Inc Party/Vendor Contact Person: Tony M Whitaker, PE President Contact
Phone: 919 - 490 -1645 Party/Vendor Address: 3708 Lyckan Parkway, Ste 201 City Durham State: NC Zip: 27707
Department: Asset Management Services Amount: $6,000 Purpose: Due diligence consulting en ing eering services for
Southern Branch Library Project Budget Code(s): 61370035- 850000 -10050 Vendor # 62089 (N /A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 10/31/2014 Approved by Board Yes❑ Non Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature .# 74v"yp"� Date: 10/31/2014
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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned by:
g
p USa C,bVia� b 11/3/2014
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre- audited in the &ftgW9jbf.9quired by the Local Government Budget and Fiscal Control Act:
��^�` ^ -,bk ^ 11/3/2014
Office of the Chief Financial ffi
Officer
Date:
Legal Services
This agreement is approved as to le �hfggrm end sufficiency:
Office of the County Attorney ' 66u fbktv�S Date: 11/3/2014
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo. d a,oran eg_ countync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
DocuSigned by:
Office of the Cleric to the Board CJ7E61B3FC087B4DE 6WA,a f?Ak r Date: 11/3/2014
..
Revised 10/14 4