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HomeMy WebLinkAboutR 2015-446-E AMS - Terracon Consultants, Inc. for testing of construction materials for Cedar Grove Comm. Center DocuSign Envelope ID:7A32F47E-0314-4268-B9A1-3143A24CC164 ORANGE COUNTY—DEPARTMEN'r usE ONLY ............................................................................................. Departmen Party/Vendor Name: Terracon Consultants, Inc, Party/Vendor Contact person: David B, Carver Contact Phone: 919-873-2211 Party/Vendor Address: 2401 Brentwool_Rd Ste 107 City Rjaeigh State: NC Zip: 276.04 Departi-neriv AMS Amount: SM Purpose: Cedar Grove Comm Ctr Construction Materials 'Leq jqg Budget Code(s): 61370035-880000-10016 Vendor 4 60991 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one)New E Renewal El Amendment ❑ EMctive Date 08/1W2015 Approved by Board YesEl No❑ Agenda Date:.. ._.... This agreement is approved as to technical f RROullimt: Department Director's Signature y.# Date: 8/14/2015 ___T.QQ9QA46GP@44Q8----- .. ...................... Information Technologic (Applicable on�y to hardit�a),clsfrfilwarepiit,chase.v or relatedservic es)'"I'his 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 ELWgggppards,specifications,and requirements: Office of the Risk Management Officer (,61 6 Date: 8-/1-7/2.0.15- 1 7FDCF9" 98_ . .. ----­- Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Am DocuSigned by: (A+6Vt, 8/17/2015 Office of the Chief Financial Offic er 2 Pe2eFA8*_�E�­- Date: Legal Services This agreement is approved as to legal fortin 11HUf fw,�M%v Office of the County Attorney , 8/18/2015-,Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloydupon completion(�y) Dollov(I(Li)oi-an�,ecc)untNIlc.,�;ov The following signature block is for hard copies only and is not required for Docusign contracts: Revised 10114 5 DocuSign Envelope ID:7A32F47E-0314-4268-B9A1-3143A24CC164 Office of the Clerk to the Roard Revised 10/14