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HomeMy WebLinkAboutR 2019-147 AMS - Boomerang ES Change Request 1 DocuSign Envelope ID:2EB3A06B-5524-4E21-B639-AFB110FDD324 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Boomerang Design, PA Party/Vendor Contact Person: Angela Crawford Easterday (ACrawford(&thinkboomerang com) Contact Phone: 919-573-6403 Party/Vendor Address: 6131 Falls of Neuse Road, Ste 204 City Raleigh State: NC Zip: 27609 Department: AMS/Emergency Services Amount: Ordinal Contract Amount$25,000+Amendment 1 Amount$30,000=Total NTE$55,000 Purpose:Provide design services for emergency services remediation and reconstruction Budget Code(s): 61370035 870000 10068 Vendor# 61974 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date Approved by Board Yes® No❑ Agenda Date: February 5,2019 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: Department Director's Signature ""I� " S Date: 3/4/2019 Cs 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: N/A 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 Office Qt s� �e���#f° Date: 3/4/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control 1 p[ Act: Office of the Chief Financial Officers Date:3/5/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney �'�"" ��° Date:3/5/2019 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: Revised 12/18