HomeMy WebLinkAboutR 2019-121 DEAPR - Agri-Waste Technology Blackwood Farm Park soil testing DocuSign Envelope ID: EED1436F-A6DD-40E9-BE68-FFBF6AF84800
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Agri-Waste Technology,_Inc. Party/Vendor Contact Person: Chris McGee Contact Phone: 919-
859-0669 Party/Vendor Address: 501 N. Salem St, Suite 203 City AA2ex State:NC Zip:27502 Department: DEAPR
Amount:$2,400 Purpose:soil testine Budget Code(s):61370035 880000 20037 Vendor#61546 (NIA if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑
Effective Date 2/2 512 0 1 9 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 Signatu av Pw SfOLA Date:2/25/2019
Agreements for emergency servic-__s,,c A,0s07Aass__--ibject 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 hardwarelsoflware purchases or relater!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:
(h �6
C17FDCF917680OL98.
Office of the Risk Management Officeusa. 11[[ Date: 2/26/2019
Financial Services Ds
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 Offic ('� �"�" °'� Date: 2/26/2019
704E51S1ACC1400.
Legal Services
This agreement is approved as-10 1 f^%_ —A."fficienc :
1}p Docusigned by: y
Office of the County Attorn �6LW Kbk�,fs Date:2/26/2019
EAA3MaED&AW&-
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