HomeMy WebLinkAboutR 2019-590 AMS - High Performance Building Solutions Link assessment DocuSign Envelope ID:2560017F-D6E8-4CA4-8F6F-11521994BEAA
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: High Performance Building Solutions Party/Vendor Contact Person: Francis Conlin Contact
Phone: 919-632-3595 Party/Vendor Address: 705 Watts Street City Durham State: NC Zip: 27701 Department:
AMS Amount: $1200 Purpose: Link air and surface samples assessment Budget Code(s): 61370035-880000-10069
Vendor#N/A (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:
po UocuSigned by:
Department Director's Signature Date:8/27/2019
Agreements for emergency services or re 092e9'-'VJa. ,)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: second opnion of surface and air samples at Link
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:
UocuSigned by: ��tt
Office of the Risk Management Officer aUS66 ('6 l 6 Date: 8/27/2019
7FDCF9176900498.
Financial Services Ep�
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
UocuSigned by:
Office of the Chief Financial Officer r q 4 Date:8/27/2019
7NE5181ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
UocuSigned by:
Office of the County Attorney ]EAAM3aED&AW5..
6LW �bk� Date:8/28/2019
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 4