HomeMy WebLinkAboutR 2019-178 Solid Waste - NCSU HAZWOPER training DocuSign Envelope ID:7575179F-3CB8-48A1-9E78-77456CCAA535
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: NC State University Party/Vendor Contact Person: Mitch Poteat Contact Phone: 919-607-
0684 Party/Vendor Address: NC State Campus Box 7902 City Raleigh State: NC Zip: 27695-7902
Department: Solid Waste Amount: 8,650 Purpose: Hazwoper Training for 10 Employees Budget Code(s):
50353020-530000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date March 13,2019(service begins 4-15-19)
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:
UocuSigned by:
Znt Kozf, 3/15/2019
Department Director's Signature—1 690496 Date:
86E66F843 ..
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:
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 QocuSigned by: s,specifications,and requirements:
aura c6m&6 3/17/2019
Office of the Risk Management Officer_ 7FDCF9176900498. Date:
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 CCU Datc:3/19/2019
704E59S1ACC1409.
Legal Services
This agreement is approved as to oocusigned by: f�
�irt Ak f-A.Y'it, vS(h 3/20/2019
Office of the County Attorney Date:
079A4D525C0F4Fg.
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