HomeMy WebLinkAboutR 2019-669 Housing - Matrix Health and Safety Consultants lead and asbestos testing DocuSign Envelope ID:9F4A8CF5-2029-449B-A53F-956739F1CFD7
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Matrix Health & Safety Consultants, LLC. Party/Vendor Contact Person: C. Britt Wester,
CIH Contact Phone: 919-833-2520 Party/Vendor Address: 2900 Yonkers Road City Raleigh State: NC Zip:
27604 Department: H&CD Amount: Up to $13,000.00 Purpose: Lead and Asbestos Test for Housing
Rehabilitation Units Budget Code(s): 32470320 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
09/25/2019 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:
DocuSigned by:
9/18/2019
Department Director's SignatureVgoo9E01771409 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: N/A
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, DocuSi9ned by: S, specifications,and requirements:
§US . (,DV1n.t,{�6 9/30/2019
Office of the Risk Management Officer 7FDC F91 76800498. Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
A.&I. 9/30/2019
Office of the Chief Financial Officer Date:
704E51S1ACC1409.
Legal Services
This agreement is approved as to 1 bocusigned bv: -- f Date:-
Office of the County Attorney
�Inux, �-ayi, l vS(h 9/30/2019
_
079A4D525COF4Fg.
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