HomeMy WebLinkAboutR 2020-173 AMS - Smith Sinnett Whitted waiting room DocuSign Envelope ID:78148866-7ACF-44FB-A8D4-617C77DAF23F
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Smith Sinnett Architecture, P.A. Party/Vendor Contact Person: Rhonda Angerio Contact
Phone: 919.781.8582 Party/Vendor Address: 4600 Lake Boone Trail, Suite 205 City Raleigh State: NC Zip:
27607 Department: AMS Amount: $6,820 Purpose: To provide engineering and architectural services for the
improvement of the Whitted Medical Clinic Waiting Room Budget Code(s): 61370035-892000-10072 Vendor#
64733 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date 02/27/2020 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:
Department Director's Signatur L2DD9CD6B81844C5
r�- 9MA Date: 2/28/2020
...
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
Risk Management
This agreement is approved for sufficienc- oocusgnea by:`�`ds, specifications,and requirements:
Office of the Risk Management Officer LQVIn 6 Date: 3 1 2020
7FDCF0176800408...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
DocuSigned by:
Docusigned by:
� ,,� �, 3/3/2020
232DFFC2cFA847B... the Chief Financial Office Date:
7NE5181ACC1409...
Legal Services
This agreement is approved as to' Gacusigned by: iency:
13DStf�, �l.Nl v, 3/3/2020
Office of the County Attorney Date:
4C5F3CDDF0894F8...
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 11/19
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