HomeMy WebLinkAboutR 2019-132 AMS - Civil Consultants design services for Northern HSC driveway DocuSign Envelope ID:466BC84F-2491-482F-9ECF-E665A2F18724
DS
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Civil Consultants, Inc. Party/Vendor Contact Person: Tony Whitaker Contact Phone: 919-
943-8414 Party/Vendor Address: 3708 Lyckan Parkway, Suite 201 City Durham State: NC Zip: 27707
Department: AMS Amount: $14,500 Purpose:Design Services Budget Code(s): 61370035-880000-10051 Vendor
# 62089 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New
® Renewal ❑ Amendment ❑ Effective Date 2/27/2019 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:
DocuSigned& PbV*aln.dy-
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Department Director's Signatu Date:2/28/2019
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:
Risk Management
This agreement is approved for sufficien -- -oocuSigned by: '�rds,specifications,and requirements:
Office of the Risk Management Office 166 LQV'ln.f 6 Date: 2/28/2019
7FDCF9176800498.
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 Offic Lr
4 � Date: 3/1/2019
7NE5181 ACC1400.
Legal Services
This agreement is approved as t ' DocuSigned by: ' ficiency:
Office of the County AttorneLEAA3D33ED8AW5__6� K6k'l5 Date: 3/4/2019
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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