HomeMy WebLinkAboutR 2019-426 AMS - Terracon Sportsplex sidewalk inspection DocuSign Envelope ID:9B5A99BA-E7F6-4BFA-8247-D1CF003D9F70
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Terracon Party/Vendor Contact Person: David Carver(Dave.Carver(d)terracon.com) Contact
Phone: 919.436.2991 Party/Vendor Address: 2401 Brentwood Rd, Ste 107 City Ralei State: NC Zip: 27604
Department: AMS/Sportsplex Amount: $5905 Purpose: Special Testing for Field House Sidewalk along Hwy 70
Budget Code(s): 61370035-880000-10023 Vendor#60991 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
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:
Department Director's Signatur ,Lt Pd""a" Date: 7/9/2019
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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: This work was completed.The prior contract had sufficient funding.However to pay the vendor for
additional testing the sidewalk funding was used. The additional testing will be reimbursed to Orange County by
TA Loving.This contract is to pay Terracon and stop incurring late fees.
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:
Office of the Risk Management Office QGs�,bn1t fo Date:7/10/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
P� Act:
Office of the Chief Financial Officer r�I°N Date: 7/10/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney Date: 7/10/2019
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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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