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HomeMy WebLinkAboutR 2018-005 AMS - Civil Consultants Feasibility Investigation Cornelius StreetRevised 10/17 8 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Department Party/Vendor Name: Civil Consultants Party/Vendor Contact Person: Tony Whitaker (tony.whitaker@civil- consultants.com) 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: Feasibility Investigation for Cornelius Street Properties Budget Code(s): 61370035-870000-10051 Vendor # 62089 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 12/29/2017 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: Department Director’s Signature ________________________________________ Date: ________ 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 Officer___________________________________ Date: _________ Financial Services 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 ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ 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 Doc usign contracts: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 016A450F-8FDD-426F-8A39-D00A9115F413 12/22/2017 12/28/2017 12/31/2017 1/2/2018