HomeMy WebLinkAboutR 2019-240 DEAPR - Civil Consultants Twin Creeks culvert engineering DocuSign Envelope ID: FCE3B12B-34AF-485D-9888-6CADC04FD9D6
ORANGE COUNTY—DEPARTMENT USE ONLY
PartylVendor Name: Civil Consultants, Inc. Party/Vendor Contact Person: Michael Fiocco Contact Phone: 919-
490-1645 Party/Vendor Address: 3708 L ckan Parkway Suite 201 City Durham State: NC Zip: 27707
Department: DEAPR Amount: 28,800 Purpose: Civil Engineering Servies to replace two culverts at Twin Creeks
Budget Code(s): 61370035 860000 20003 Vendor 4 62089 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/12/19
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:
DocuSigned by:
Department Director's Signatu Pam' Sf�'uC Date.4/15/2019
Agreements for emergency servictb u;I pall a1 V JULabject 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 sufficiencv of insurance standards,specifications,and requirements:
DocuSigned_by:
.
Office of the Risk Management Offic USX Cbl 6 Date: 4/16/2019
7FDCF917e800498.
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
4/17/2019
Office of the Chief Financial Officer. CIA Date:
Er7NE5181ACC1409. -
Leffal Services
This agreement is approved as to ' `r. �a..."�cienc :
pprove DocuSigned by: y
Office of the County Attorney �6LW Pkk�s Date: 4/18/2019
EAA3D33ED8AM65..
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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