HomeMy WebLinkAboutR 2019-797 AMS - Summit Design contract amendment PFAP freezer installation DocuSign Envelope ID: F55E53DA-6231-4A93-9BFA-2ADD5323B355
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Summit Design&Engineering Services ,PLLC Party/Vendor Contact Person: Don Dewey
(Don.dewey(a)summitde.net) or Troy Dover (Troy.Dover(a)summitde.net) Contact Phone: 919.732.3883 Party/Vendor Address: 320
Executive Court City Hillsborough State: NC Zip: 27278 Department: AMS Amount: This contract amendment is to reduce the
original contract amount by($2,000.00) For a new contract amount of$8,750.00 Purpose: This change amendment is to remove the
Reimbursable services from this contract, These funds were not used as a part of the design of this project. Budget Code(s):
30600030-870000-71370 Vendor# 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type:
(Check one)New❑ Renewal❑ Amendment ® Effective Date 10/31/2019 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 Date:
10/24/2019
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 of insurance standards,specifications,and requirements:
Office of the Risk Management Office Qt s� ��"` d Date:10/24/2019
Financial Services
P� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:10/25/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney wa P Date:10/28/2019
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: