HomeMy WebLinkAboutR 2017-190-E AMS - Triangle J Council of Governments for Energy and Environment Program DocuSign Envelope ID:97A85083-4649-4F90-9283-141A52E739BF DS
rDS ORANGE COUNTY-DEPARTMENT USE ONLY [
Department
Party/Vendor Name: Triangle J Council of Governments Party/Vendor Contact Person: Andrea Eilers Contact
Phone: 919-558-2705,aeilers @tjcog.org Party/Vendor Address: 4307 Emperor Boulevard, Suite 110 City Durham
State: NC Zip: 27703 Department: Energy and Environment Program Amount: $6,142 for Phases 1-2; Pending
Approval $13,822 for Phases 3-6; Total Project $19,964 Purpose: Conducting a Triangle Regional Resiliency
Assessment as detailed in Appendix A. Budget Code(s): 30750020-629000-71049 Vendor # 5855 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date April 1St,2017 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to technical form and content: Doc°Signed by:
24./
5/10/2017
Department Director's Signature 9F880A46CF64498 Date:
DocuSigned by:
I J�(Ylt S 5/10/2017
Information Tec lyr,a im1A64473
(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:
,. -°DocuSiggned by:
Office of the Risk Management Officer ' " Ca tA,t.,{fb Date: 5/10/2017
`--7 F 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 Date: 5/19/2017
D4E5181ACC1409__
Legal Services
This agreement is approved as to c sufficiency:
mi 5/24/2017
Office of the County Attorney Date:
ED8A846G.._
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
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 2/17
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