HomeMy WebLinkAboutR 2019-356 Planning - Tischler Bise Fiscal Economic Model consulting DocuSign Envelope ID:49DCCCCF-BDED-4EDB-A3D5-579B6C96F48E
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: TischlerBise Party/Vendor Contact Person: Carson Bise Contact Phone: 304-320-6900
Party/Vendor Address: 4701 Sangamore Road City Bethesda State: MD Zip: 20816 Department: Planning &
Inspections Amount: $50,480 Purpose: Development-Related fiscal/Economic Model Budget Code(s): 10620020-
630000 Vendor# 56683 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type:
(Check one)New ® Renewal ❑ Amendment ❑ Effective Date 6/28/19 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:
�rN.O_ocuSign2e..dby:
Department Director's Signature "' alo Date: 6/21/2019
Agreements for emergency services 846D10DA3CFD4c2. - t 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:
DocuSigned_by:
.
Office of the Risk Management Officer ausa, ( r 6 Date: 6/21/2019
7FDCF9176900498.
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 A .II. Date: 6/21/2019
754E5981ACC1469.
Legal Services
This agreement is approved as to legal form and sufficiency:
UocuSigned by:
Office of the County Attorney Jam's ou Date:6/24/2019
328DC480549A4F5..
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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