HomeMy WebLinkAboutR 2019-156 AMS - Environmental Solutions Group air and surface testing ES DocuSign Envelope ID: EE36A5A6-7D04-4876-B67B-1CB28B880BC7
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Environmental Solutions Group, LLC Party/Vendor Contact Person: Dan Whittaker,
(dwhittaker(a^go-es,g com) Contact Phone: 336-392-8526 Party/Vendor Address: 1000 N. Elm Street City
Greensboro State: NC Zip: 27402 Department: AMS/Emergency Services Amount: $10,000 Purpose: Perform
Air and Surface sampling at the 510 Meadowlands buildingthrough hrough out construction as post remediation verfication
testing. Budget Code(s): 61370035 870000 10068 Vendor # 65016 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
2/6/19 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 vi,.L s Date:3/6/2019
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
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Office of the Risk Management Office kGs� �a�r#f° Date: 3/7/zo19
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
P� 3/11/2019
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney Date:3/11/2019
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