HomeMy WebLinkAboutR 2020-180 AMS - Environmental Solutions Group Link Assessment DocuSign Envelope ID: 1FD1A8E7-CF79-434F-8F7C-386DAAC01881
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Environmental Solutions Group, LLC Party/Vendor Contact Person: Dan Whittaker
(dwhittakerAizo-esg com) Contact Phone: 336.392.8526 Party/Vendor Address: 7 Maple Leaf Drive Ste 104 City
Greensboro State: NC Zip: 27410 Department: AMS Amount: NTE $3200.00 Purpose: John Link Jr. Government
Services Building - Provide full internal environmental assessment. Budget Code(s): 61370035-870000-10069
Vendor# 65016 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New® Renewal ❑ Amendment ❑ Effective Date 3/2/2020 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 Signatur si'"� QR, Date:2/28/2020
Agreements for emergency services or repair arenot 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 Officer KS�L bn1t f° Date:2/28/2020
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 Office c� Date:3/3/2020
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney��?? H3+�'qu Date:3/3/2020
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 11/19 4