HomeMy WebLinkAboutR 2016-145-E DEAPR - Summit Design and Engineering Services, PLLC for soil borings DocuSign Envelope ID: D10D47AF-6B34-46E7-8866-5A58AA29E9A8
ORANGE COUNTY-DEPARTMENT USE ONLY
20&itment
Party/Vendor Name: Summit Design and Engineering Services, PLLC Party/Vendor Contact Person: Don Dewey
Contact Phone: 919-732-3883. Party/Vendor Address: 504 Meadowlands Drive City Hillsborough State: NC Zip:
27278 Department: DEAPR Amount: 3,700 Purpose: Soil Borings Budget Code(s): 61370035 880000 20041 Vendor
# 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes F-1 NoM Contract Type: (Check one)New
Renewal F-1 Amendment ❑ 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 No, sfa" Date: 1/26/2016
6 1 1 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 Managemen
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management OfficerFzSa, ('6V't td 6 Date:
�--7FDCF9176800498 1/26/2016
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 A,,� Date:
cl� 2/3/2016
7D'4E5181ACC1409
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney )66t, Ocyfs Date:
EAAMKEDM8465... 2/4/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ !)oLkoy
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