HomeMy WebLinkAboutR 2020-002 AMS - Summit Parking deck evaluationRevised 11/19
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Party/Vendor Name: Summit Design and Engineering Services PLLC Party/Vendor Contact Person: Chris Berg
Contact Phone: 919.732.3883 Party/Vendor Address: 320 Executive Court City Hillsborough State: NC Zip:
27278 Department: AMS Amount: $10,700.00 Purpose: To complete Phase 1 of attached proposal dated 12/3/19
Budget Code(s): 61370035-870000-30029 Vendor # 53403 (N/A if new vendor) Vendor is a BOCC consultant?
Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 12/16/19
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:
Department Director’s Signature ________________________________________ 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:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
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: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
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:_________
DocuSign Envelope ID: 5E47B263-475D-41C8-9B4C-D71593E80C95