HomeMy WebLinkAboutR 2015-599-E SW - Summit Design and Engineering Services for surveying DocuSign Envelope ID: 131 D50716-7603-4905-88E6-3348AF487601
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Edmond Purcell
Contact Phone: 919-732-3883 Party/Vendor Address: 504 Meadowlands Drive City Hillsborough State: NC Zip:
27278 Department: Solid Waste Amount:Not to Exceed$90,000 Purpose: Surveying Budget Code(s): 50351020
630000 Vendor 4 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one)New ® Renewal ❑ Amendment ❑ Effective Date January 1,2016 Approved by Board Yes❑
No® Agenda Date:
This agreement is approved as to technical form and SP[—i4b–W11 by:
Department Director's Signature UjilLS&I Date: 11/16/2015
6E763F604A144E2...
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:
r—Ausa,DocuSigned""by:''11LL
Office of the Risk Management Officer (,6vvt,e b Date: 11/17/2015
71`DCF9176800498...
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 Officer '�°' �2°'L Date 11/17/2015
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorney 5b,
LVU otxfS Date:11/17/2015
EAAMKEMA8465...
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
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