HomeMy WebLinkAboutR 2015-373-E Planning - Hazen & Sawyer to inspect Lake Orange dam DocuSign Envelope ID:AF213AC7-5247-4BE1-89BB-8589F8088302
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Hazen& Sawyer Party/Vendor Contact Person: James McCarthy Contact Phone: 919-833-7152
Party/Vendor Address: 4011 WestChase Blvd. City Raleig State: NC Zip: 27607 Department: Planning Amount:
$5,200 Purpose: Lake Orange Dam Inspection Budget Code(s): 10695020-720013 Vendor 4 59201 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 7/29/2015 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
pp DocuSigned by: 1
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iu Date: 7/28/2015
Department Director's Signatur
846D10DA3CFD4C2...
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:
--DocuSignedby: ''1111
Office of the Risk Management Office AUSS& (hnuh Date: 7/28/2015
7FDCF9176800498...
Financial Services
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 Office C232DFFC2CFA847B m/,L ( byu Date: 7/28/2015
.
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorne 0EAAM33ED8A8465
bLyu otxfs Date: 2/28/2015
..
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
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 10/14 4