HomeMy WebLinkAboutR 2016-456-E DEAPR - Summit Design and Engineering Services for construction materials testing DocuSign Envelope ID:4236F103-A2894D68-B8BO-1B6COD115E45
ORANGE COUNTY—DEPARTMENT U NLY
Department
Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Jeff Elliott Contact
Phone: 919-732-3883 Party/Vendor Address: 504 Meadowland Drive City Hillsborough State: NC Zip: 27278
Department: DEAPR Amount: $8,365 Purpose: Construction Materials Testing 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 ❑ Effective Date Approved by Board Yes❑ No® Agenda
Date:
This agreement is approved as to techn�coaljo remand content:
Department Director's Signatur yaw.� S`1 at'a Date: qp,
611CFA1 D507A495._ 8�13 2016
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:
Docu5igned""by:
''��.�..
Office of the Risk Management Office &a, r,Orv�c,116 Date
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the Tanner Sr V.uired by the Local Government Budget and Fiscal Control Act:
gne
Office of the Chief Financial Officer Fr" `�°'�" �°'L Date: p y� y� q
7D4E5181ACC1409... 8 15/�G�-16
Legal Services
This agreement is approved as to legal gal forgmdaYd sufficiency:
Office of the County Attorney ,6 , r6ufs Date:
EAAMKEDM8465... 8/17/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ ll c 99�ayr,��Jo�ctrti„g count_�r�' ryay
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 6/16 5