HomeMy WebLinkAboutR 2019-837 Planning - NCDEQ Jordan Lake Water supply ✓ 1
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ORANGE COUNTY-DEPARTMENT USE ONLY � 2
Party/Vendor Name : North Carolina Department of Environmental Quality (NCDEQ) Party/Vendor Contact
Person : Kim Nimmer Contact Phone : (919 ) 707 -9019 Party/Vendor Address : 512 N . Salisbury St . ( 1611 Mail
Service Center) City Raleigh State : NC Zip : 27699 Department : Division of Water Resources — Water Pla
Section Amount: Varies year to gear Purpose : 1 . 5 % Jordan Lake Allocation Budget Code (s) : endor #
SZ 01 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type : (Check one) New
Renewal ❑ Amendment ❑ Effective Date When executed by the Chairman of the NC Environmental
Management Commission 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 xecution of the Bement :
Department Director ' s Signatur / Date `
Agreements for emergency services or repa ' are not s t to the above affirmation . If servic s rela d to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed :
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 Officer ' Date :
Financial Services
This instrument has been pre- audited in the nner re by the Local Government Budget and Fiscal Control
Act :
Office of the Chief Financial Officer Date . 12LII 7117
Legal Services
This agreement is approved as to legal for ands cy :
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 : snngersoll@orangecountync . gov
The following signature block is for hard copies only and is not required for Docusign contracts :
Office of the Clerk to the Boardw Date : Wz 0
Revised 12/ 18