HomeMy WebLinkAboutR 2019-344 DEAPR - EI Group noise exposure study DocuSign Envelope ID:22367E6B-5942-47DA-B321-4ACB7F6086D4
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: The EI Group, Inc Party/Vendor Contact Person: Adam Underwood Contact Phone:
919.657.7500 Party/Vendor Address: 2101 Gateway Centre Boulevard Suite 200 City Moorisville State: NC Zip:
27560 Department: N/A Amount: $1,695 Purpose:Noise Survey Budget Code(s): 61370035 870000 20039 Vendor
# 51954 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New
Renewal❑ Amendment ❑ Effective Date N/A Approved by Board Yes❑No® Agenda Date:N/A
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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by:
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Department Director's Signature 611cFA1D507A405.. Date:
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 c- Docusigned by: - - , specifications,and requirements:
&A c4Wt&6 6/14/2019
Office of the Risk Management Officer_ 7FDCF0170800408. Date:
Financial Services
This instrument has been pre-audited in(—Docusignea by: he Local Government Budget and Fiscal Control Act:
4' � 6/14/2019
Office of the Chief Financial Officer 7D4E5181A=40s. Date:
Legal Services
This agreement is approved as to leD328DC490549A4F5.
' Uocusigned"by: __ ' ncy:
Office of the County Attorney_ LLS Eou Date: 6/17/2019
.
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 4