HomeMy WebLinkAboutR 2017-581-E AMS - Civil Consultants - consulting engineering services for Coleman Loop property DocuSign Envelope ID: 78EE5ED3-1EEE-40CF-A7C1-433DD817F9AF
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Civil Consultants Party/Vendor Contact Person: Tony Whitaker Contact Phone:
919.490.1645 Party/Vendor Address: 3708 Lyckan Parkway Ste 201 City Durham State: NC Zip: 27707
Department: AMS Amount: $7,500.00 Purpose: Consulting Engineering Services for Property investigation of
Parcel 9865685784 Coleman Loop Budget Code(s): 61370035-870000-10020($3,750)& 61370035-870000-10051
($3,750) total $7,500 Vendor # 62089 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No
Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/30/17 Approved by Board
Yes No Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature[q °"'p"°"' Date:10/18/2017
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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:
Office of the Risk Management Office a(asa Date: 10/18/2017
7F.F9176800498
Financial Services
r. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer 21-21— Date:10/19/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
aed ev:
Office of the County Attorney ,�eG n reti`v s Date: 10/20/2017
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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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