HomeMy WebLinkAboutR 2019-232 DEAPR - S&ME Fairview landfill monitoring well sampling DocuSign Envelope ID: D5386F95-C7D7-4467-802E-832D3E20CE67
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: S&ME Party/Vendor Contact Person: Samuel P. Watts Contact Phone: 919-872-2660
Party/Vendor Address: 3201 Spring Forest Road City Ralei State: NC Zip: 27616 Department: DEAPR
Amount: $28,000.00 Purpose: Groundwater Sampling at Former Hillsborough Landfall Budget Code(s): 61370035
870000 20041 Vendor# 52307 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date April 19, 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 by:
Department Director's Signature 11)AVL(I S �� Date: 4/9/2019
Agreements for emergency services or repair are n( 911cFA1DK7A495. e 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 Manaff—cment
This agreement is approved for sufficiency of insurance standards,specifications, and requirements:
DocuSigned by:
Office of the Risk Management Officer 9US& cbvin.th Date:4/10/2019
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 Officer Date: 4/15/2019
7NE5181ACC1400
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney ,� t.S aU, Date: 4/15/2019
323DC4H54eA4F5..
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@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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