HomeMy WebLinkAboutR 2016-136-E DEAPR - Summit Design and Engineering Services, PLLC for Phase I environmental site assessment DocuSign Envelope ID: F4CF91BB-74B3-4B07-9E4A-4099BF54DBE8
GEC UNTY- EPARTMENT USE ONLY
Department
Party/Vendor Name: Summit Design and Engineering Services, PLLC Party/Vendor Contact Person: Brett Smith
Contact Phone: 919-732-1545 Party/Vendor Address: 504 Meadowlands Drive City Hillsborough State: NC Zip:
27278 Department: DEAPR Amount: .1,900 Purpose: Phase I Environmental Site Assessment Budget Code(s):
61370035 880000 20041 Vendor # 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New Renewal ❑ Amendment F-1 Effective Date 1/25/2016 Approved by Board
Yes❑NoM Agenda Date:
This agreement is approved as to technical form and content:
DOCUSIgned by:
Department Director's Signature sfoai� DatW'5/2016
61 1CFAlD507A495
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 Office §Usa, (hnttN Date:
�--7FDCF9176800498 1/26/20-16
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 Date:
'--7D4E5181 ACC 1409 1/31/2016
Legal Services
This agreement is approved as to lewlfl id sufficiency:
c
igne
Office of the County Attorney Date:
�--EAAMKEDM8465... 2/2/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @
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 1/16 4