HomeMy WebLinkAboutR 2018-348 Emergency Svc - Penta Engineering Special Testing 3800 Hwy 70DocuSign Envelope ID: 3EFOFF2D- AE78- 42B5- B6CA- 82C97781C16E
GRANGE COUNTY - DEPARTMENT USE ONLY
Department
PartyNendor Name: Penta Engineering Group Inc Party /Vendor Contact Person: Dan D. Blair Jr, PE Contact
Phone: 419.455.0212 PartyNendor Address: 4000 Miller Court West City Norcross State: GA Zip: 30071 yr
Department: AMS Amount: $2000.00 Purpose: Asbestos & head Testing_for_3800 Hwy 70 Propegy, Efiand NC
Budget Code(s): 61370035 - 870000- 10053 Vendor # 61470 (N /A if new vendor) Vendor is a BOCC consultant?
Yes ❑ NoM Contract Type: (Check one) New 0 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 �i+^-��s _ Date: 7/30/2018
Information Technologies
(Applicable only to hardware/sofrtvare 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
Risk Mana &ement
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
a. Office of the Risk Management Office d-- ba� a
Financial Services
Date: 8/1/2018
This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control
Pt Act:
Office of the Chief Financial Officer � bate: 8/1/2018
��� f.. =.i P1 A(:C,�1(P
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney l� .lawfs _ _ Date:8/7/2018
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll @oran eg cou tync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10117
Date: