HomeMy WebLinkAboutR 2019-028 AMS - Summit Design Lower Level Exterior Waterproofing Additional Design Services DocuSign Envelope ID: B895344F-E234-49C1-832A-A33DD13A178D
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Robby Hoffinan
Contact Phone: 919.732.3883 Party/Vendor Address: 504 Meadowlands Drive City Hillsborough State: NC Zip:
27278 Department: AMS Amount: $6,653.00 (Change Order to increase original contract from $10,000 to
$16,653.00) Purpose: Provide additional design services for the link exterior Budget Code(s): 61370035-870000-
30002 Vendor# 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type:
(Check one)New ❑ Renewal ❑ Amendment ® Effective Date 12/21/18 Approved by Board Yes❑No®
Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
Department Director's SignaturjP 'R Date: 12/21/2018
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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 Office QGs� �a��#f° Date:12/21/2018
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
P[ Act: oIXyslp
Office of the Chief Financial Officer c� Date: 1/22/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney[' ° Date:1/zz/2019
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:
Revised 12/18