HomeMy WebLinkAboutR 2018-243 AMS - Penta Engineering sample testing BOERevised 10/17
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Penta Engineering Group, Inc Party/Vendor Contact Person: Dan D. Blair Jr, PE Contact
Phone: 919.455.0212 Party/Vendor Address: 4000 Miller Court West City Norcross State: GA Zip: 30071
Department: AMS Amount: $2950.00 Purpose: Asbestos & Lead Testing for Government Services Annex Budget
Code(s): 61370035-870000-10008 Vendor # 61470 (N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date 5/21/2018 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: 8967D249-0449-4C9F-8B6B-F8BEA1741F74
In ProcessRisk ManagementRisk Managemento
DocuSign Envelope ID: 8967D249-0449-4C9F-8B6B-F8BEA1741F74