HomeMy WebLinkAboutR 2019-273 Planning - Froehling & Robertson Lake Orange ASR testing DocuSign Envelope ID: DAD8677E-5BD9-49A9-8752-89E081765EE6
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Froehling & Robertson, Inc. Party/Vendor Contact Person: Santhosh K. Mahavadi, P.E.
Contact Phone: 919-719-1849 Party/Vendor Address: 310 Hubert Street City Raleigh State: NC Zip: 27603
Department: Planning Amount: $10,400.00 Purpose: Concrete Testing at the Lake Orange Dam Budget Code(s):
10695020-720013 Vendor#55185 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract
Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date May 15,2019 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:
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Department Directors Signature 1E
Date: 5/13/2019
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 of insurance standards,specifications,and requirements:
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Office of the Risk Management OfficeEINEr"„E�,� Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
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Office of the Chief Financial Officer[ 61C, _ Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney Date:
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
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