HomeMy WebLinkAboutR 2019-406 DEAPR - Agri-Waste Technology Inc. Twin Creeks soil testing DocuSign Envelope ID:4F777F78-922F-43C2-A26A-E4F2744C E FEB
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Agri-Waste Technology,Inc. Party/Vendor Contact Person: Chris McGee Contact Phone:(`U9
367-63 16 Party/Vendor Address: 501 N. Salem St.,Suite 203 City Apex State:NC Zip: 27502 Department: DEAPR
Amount: $1,800 Purpose: Soil testing for septic system Budget Gode(s): 61370035 860000 20003 Vendor# 61546
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date July 1.2019 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:
QocuSigned by:
Department Director's Signature PAVL(I Sfoai� Date:7/5/2019
Agreements for emergency services or repair are s11CFA1Q507Aa95. iVe affumatinn. If SerV1CC5 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 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 sufficiency of insurance standards,specifications,and requirements:
WcuSigned by:
�1_ .
Office of the Risk Management Officer aUSX 1 p,41WA 6 Date: 7/5/2019
7FQCF9176900498.
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 .&I . Date: 7/5/2019
7NE5181ACC1400
Legal Services
This agreement is approved as to legal form and sufficiency:
UocuSigned by:
Office of the County Attorney , xm(,S aU, Date:7/5/2019
323QC48054eA4F5..
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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