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HomeMy WebLinkAboutR 2020-141 AMS - Summit Northern Campus CMAT testing DocuSign Envelope ID:90883988-076D-486D-B746-055E86E2D681 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Summit Design & Engineering Services, PLLC Party/Vendor Contact Person: Don Dewey (Don.deweyksummitde.net) or Troy Dover (Troy.Doverksummitde.net) Contact Phone: 919.732.3883 Party/Vendor Address: 320 Executive Court City Hillsborough State:NC Zip: 27278 Department: AMS Amount: NTE: $245,238.00 Purpose: Construction Materials Testing and Special Inspections for the Northern Campus Expansion Budget Code(s):Detention Center$180,238 Account#61370035-870002-10064 EAC $45,000 and POB $20,000 Account #61370035-870001-10064 Vendor # 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/18/2019 Approved by Board Yes®No❑ Agenda Date: 10/1/19 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 Signatu Date: Sf Qvu�k 2/21/2020 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 and 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: Qt s� Ceru�#fa Office of the Risk Management Officer_[ ,u H :aR Date: 2/22/2020 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control P[ Act: o�vsa Office of the Chief Financial Officer Date: 2/24/2020 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney Date: 2/24/2020 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 8