HomeMy WebLinkAboutR 2018-704 AMS - Summit Design freezer installationRevised 10/17
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Tim Smith
(tim.smith@summitde.net) Contact Phone: 919.732.3883 Party/Vendor Address: 504 Meadowlands Drive City
Hillsborough State: NC Zip: 27278 Department: AMS Amount: $10,750.00, ($8,750.00 Fixed price for design,
$2,000 for reimbursables) Purpose: Provide design services for Piedmont Food & Ag Freezer Installation Budget
Code(s): 30600030-870000-71370 Vendor # 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date 8/20/18 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: 3BB200F6-4761-46CD-8B69-0FE9970D5654