HomeMy WebLinkAboutR 2019-433 OPT - Ferguson Transport Service consultant services DocuSign Envelope ID: D21DFDE8-B7C1-4E75-A803-A1EBD9C48D25
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: FTS- Ferguson Transit Solutions, LLC Party/Vendor Contact Person: Terry Ferguson
Contact Phone: 678-227-4936 Party/Vendor Address: 675 Crowe Road City Statham State: GA Zip: 30666
Department: OCPT Amount: $25,000 Purpose: Consultations Budget Code(s): 630000 Vendor# 65495 (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:
DocuSigned by:
Department Director's Signature II�y� Date: 7/2/2019
722E5DD0A625490 .
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:
Risk Management
This agreement is approved for sufficiency of insu DocuSigned by: ifications,and requirements:
1
U56 (4�6 7/3/2019
Office of the Risk Management Officer 7FDCF0176800408. Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned dy-
7/3/2019
Office of the Chief Financial Officer 17NE5181ACC1409. Date:
Legal Services
This agreement is approved as to legal form and si �ocuSigneddIGS by:
Office of the County Attorney � Date: 7/3/2019
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 o DocuSigned by: for Docusign contracts:
bltilrt� � � 7/9/2019
Office of the Clerk to the Board Date:
E7E61BYCO8734DE..
Revised 12/18
8