HomeMy WebLinkAboutR 2019-037 AMS - LRC Indoor Testing and Research air quality testing DocuSign Envelope ID: E93BD43D-BEBA-40BA-9369-A91730E5F629
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: LRC Indoor Testing & Research, Inc Party/Vendor Contact Person: Cathy Richmond Contact
Phone: 919-342-4936 Party/Vendor Address: 140 Iowa Lane, Suite 102 City Cary State:NC Zip:27511 Department:
AMS Amount: NTE $5,000 Purpose: Air Quality Testingas s requested at various locations Budget Code(s):
10240320-630000 Vendor# 62070 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 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:
DocuSigned by:
Department Director's Signature 9� Off),40L Date:1/22/2019
Agreements for emergency services o___21EF373Ac❑454EF-- .t 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: Urgent(based on our procedure standard)services began upon report of air quality concerns in various
locations,and continue to be reported,with air quality testing action required,as applicable.
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:
DocuSigned by:
Office of the Risk Management Officer aUsa (DV1n• 6 Date: 1/23/2019
7FDC F91 76900498- DS
Financial Services Ir
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This instrument has been pre-audited in tl oocusignea ay'�"" '`' "Local Government Budget and r fiscal Control Act:
Office of the Chief Financial Officer ` .&I. Date: 1/23/2019
7D4E5181ACC14M-
Legal Services
This agreement is approved as to legal f DocuSigned by:
�66A, K6 YS
Office of the County Attorney Date: 1/24/2019
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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:
Revised 12/18 4