HomeMy WebLinkAboutR 2019-104 IT - Tower Engineering Professionals engineering survey DocuSign Envelope ID: E3E85C1C-F7DB-4D18-A097-5D3D408C08DA
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Tower Engineering Professionals, Inc Party/Vendor Contact Person: John Goins Contact
Phone: (919) 703-4129 Party/Vendor Address: 326 Tryon Road City Raleigh State: NC Zip: 27603-3530
Department: IT Amount: $9600.00 Purpose: Tower Mapping and Structural Analysis Budget Code(s):
10315020/571000 Vendor#65560 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date February 20, 2019 Approved by Board
Yes❑No® Agenda Date:N/A
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 4&Kvf DateZ/19/2019
Agreements for emergency services or repair are no�i'su jecDo 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:
Risk Management
This agreement is approved for sufficiency of insur_____;_ A_ A_ -" fications,and requirements:
DocSigneI
US66 (,bV1n. 6
Office of the Risk Management Officer Date: 2/19/2019
7FDCF9178800498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: Docusigned by:
Office of the Chief Financial Officer 17D4ES181ACC1400
q 4 � Date:2/22/2019
.
Legal Services
This agreement is approved as to legal forrr DocuSigned by:
�cu IGS aj)u 2/22/2019
Office of the County Attorney Date:
328DC480549A4F5..
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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