HomeMy WebLinkAboutR 2019-090 AMS - Penta Engineering Blackwood Millhouse POC asbestos and lead testing DocuSign Envelope ID:6287A96E-3D08-4E5A-829C-DA75D9AF2941
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Penta Engineering Group, Inc Party/Vendor Contact Person: Dan D. Blair, Jr, PE
(dblair(d)pentaeng com) Contact Phone: 919.455.0212 Party/Vendor Address: 4000 Miller Court West City
Norcross State: GA Zip: 30071 Department: AMS Amount: $5,000.00 Purpose: Lead & Asbestos Testing for
Blackwood Farm House&Millhouse Parks Operatations Base House Budget Code(s): 10240320-630000 Vendor
# 61470 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New
® Renewal ❑ Amendment ❑ Effective Date 2/15/19 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:
m 2/12/2019
Department Director's Signature Date:
C„
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: A portion of this work was completed due to the employees working in the Blackwood Farm house
and paint was peeling from the walls.The health and safety exposure to lead and asbestos deemed the partial work
completed as urgent to protect the health of the employees.
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 Officer kGs�,bn t#f° Date:2/12/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
P[ Act:
Office of the Chief Financial Officers Date: 2/18/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney Date:2/19/2019
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:
Office of the Clerk to the Board Date:
Revised 12/18
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