HomeMy WebLinkAboutR 2019-259 DEAPR - Calyx Engineers 86 topo for Blackwood Farm DocuSign Envelope ID:341CF104-EB06-41CA-A2D2-F25E48FB1B6A
ORANGE COUNTY—DEPARTMENT USE ONLY
PartyNendor Name: CALYX Engineers_and Consultants PartyNendor Contact Person: Wendell R. Ball Contact
Phone: 919-858-1876 Party/Vendor Address: 6750 Tryon Rd City C. ary State:NC Zip: 27518 Department: DEAPR
Amount: $4,500 Purpose:Too Survey work to develop turning lanes on 86 Budget Code(s):61370035 870000 20037
Vendor#NIA (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New
® Renewal❑ Amendment ❑ Effective Date 4123/19 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:
QocuSigned by:
Department Director's Signatur Cl)"L(I SfOL�( Date: 4/23/2019
Agreements for emergency service.,. 61�YFA,D507A49 ....eject 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 Technoloeies
(Applicable only to hardwarelsoftware 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 sufficienev of insurance standards,specifications,and requirements:
QocuSigned by:
Office of the Risk Management Offic &A t_,DVln.t& Date: 4/23/2019
7FDCF9176900498.
Financial Services O5
�L
This instrument has been pre-audited in the manner reanired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Offic 4 � Date:`5/1/2019
704E5981ACC1409.
Legal Services
This agreement is approved as to]Pant form and zlifftciency:
DocuSigned by:
Office of the County Attorne[�6�i, P ,fs Date: 5/2/2019
EAA3D33ED&AW5..
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 12118 4