HomeMy WebLinkAboutR 2018-083 AMS - Environmental Solutions Group site assessment and sampling BOERevised 10/17
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Environmental Solutions Group (ESG) Party/Vendor Contact Person: Dan Whitaker
(dwhittaker@go-esg.com) Contact Phone: 336-373-1538 Party/Vendor Address: 100 N. Elm Street City
Greensboro State: NC Zip: 27401 Department: AMS Amount: $2,400.00 Purpose: Full Site Assessment, Air &
surface sampling for remediation at Board of Elections Budget Code(s): 61370035-880000-10008 Vendor # 65016
(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New
Renewal Amendment Effective Date 3/8/18 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 Sherri Ingersoll upon completion: singersoll@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:_________
DocuSign Envelope ID: F08B1D96-60E5-45AD-8055-70EAF07C320F