HomeMy WebLinkAboutR 2018-785 AMS - Summit Engineering Magtrate office floor DocuSign Envelope ID:77ADDCE7-37BO-477F-A416-OC80FDF64CA2
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Summit Design & Engineering Services PLLC Party/Vendor Contact Person: fames Parke
Contact Phone: 919-732-3883 PartyNendor Address: 504 Meadowland Dr City I-Illisborough State:NC Zip: 27278
Department: AMS Amount: $742.50 Purpose: Magistrate Floor Repair- Budget Codc(s): 10240320-63000 Vendor#
53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑
Renewal❑ Amendment ❑ Effective Date 1 1/3 0120 1 8 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form1921EF373Ar_D454EF_._
um. p6V*aJA,bocusigned by:
Department Director's Signature Date: 11/29/2018
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Information Technologies
(Applicable only to hardwarelsoftivare 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 il'""'ocusigned by: '" ""ecifications,and requirements:Office of the Risk Management Officer QUS& t_,DVLU& Date:11/30/2018
7FDCF9176800498.-.
Financial Services
This instrument has been pre-audited in the mar Docusigned by: C Government Budget and Fiscal Control Act:
Office of lthe Chief Financial Officer 7NE5181ACC1409.-. -- Gate. 11/30/2018
Legal Services
This agreement is approved as to legal Docusigned by:
Office of the County Attorney , 66U Dale-12/3/2018
EAAM33ED&A&W"5-.-
Clerk to the Board
Received for record retention:
All Docusign contracts must he copied to Sherri Ingersoll upon completion: sin ersoll,,;oran ecountync.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:
i
Revised 10/17(Mgr appry Sk 6/18) 4