HomeMy WebLinkAboutR 2019-574 AMS - Burke Design mural muster room HVAC study DocuSign Envelope ID:3E30BB72-BCBO-4AD5-BE8A-E2D61697B7FE
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Burke Design Group Consulting Engineers Party/Vendor Contact Person: Ben Burke
Contact Phone: 919-771-1916 Party/Vendor Address: 3305-109 Durham Drive City Raleigh State:NC Zip: 27603
Department: AMS Amount: $7100.00 Purpose: Mural Courtroom &Muster Room HVAC Study/Design Budget
Code(s): 61370035-870000-30018 Vendor#60926 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/26/19 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:
Department Director's Signature[ 8/22/2019
�w t 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: NA
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Office QGs� �a��#f° Date: 8/23/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
P[ Act: oIXVslp
Office of the Chief Financial Officer Date:8/23/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney " Date:8/26/2019
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
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