HomeMy WebLinkAboutR 2018-738 Planning - Lake Orange Dam Inspection amendmentRevised 10/17
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Hazen and Sawyer, P.C.Party/Vendor Contact Person: Christopher Phillips, P.E., Associate
Vice PresidentContact Phone: 919-833-7152Party/Vendor Address: 4011 WestChase Blvd., Suite 500City
RaleighState: NCZip: 27607Department: PlanningAmount: $0 for contract amendment (original executed
contract is $15,000.00)Purpose: Lake Orange Dam Inspection Services 2018 - Contract Amendment #1Budget
Code(s): 10695020-720013Vendor # 59201(N/A if new vendor) Vendor is a BOCC consultant? Yes No
Contract Type: (Check one) New Renewal Amendment Effective Date November 12, 2018Approved
by Board Yes No Agenda Date:
This agreementis 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 hasbeen 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: 9B3E4DCD-E515-4478-B6AB-CB885F37A67E