HomeMy WebLinkAboutR 2019-060 Solid Waste - Simmons Contract log grinding and hauling DocuSign Envelope ID:72B61B9E-DE9C-482C-83A8-84EC6903857F
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Simmons & Simmons Management, Inc. Party/Vendor Contact Person: David Simmons
Contact Phone: 910-592-3834 Party/Vendor Address: P.O. Box 1460 City Clinton State: NC Zip: 28329
Department: Solid Waste Amount: 7,500.00 Purpose: Grind and Haul Vegetative Debris Budget Code(s):
50352020-630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date Feb. 10,2019 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:
DocuSign/e'd11by:
F-8BEB6F843690496
b�et,V� WIAIMS 2/7/2019
Department Director's Signature Date:
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 o * I dards,specifications,and requirements:
Office of the Risk Management Officer gu rbvvulTb Date:2/7/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
,� , 2/7/2019
Office of the Chief Financial Officer ('�� Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney aAx, ha& T�Sc4 Date: 2/7/2019
079A4D525COF4FB...
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
8