HomeMy WebLinkAboutR 2020-199 AMS - HH Architecture Churton Grove upfit DocuSign Envelope ID: B4E2BBD3-F2DA-436D-AB94-747C600058E2
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: HH Architecture Party/Vendor Contact Person: Kristen Hess (khess(&HH-Arch.com Contact
Phone: 919-828-2301 Party/Vendor Address: 1100 Dresser Court City Raleigh State: NC Zip: 27609 Department:
AMS Amount: $4900.00 Purpose: Unfit for 149 Scottswood Blvd (Churton Grove) Budget Code(s): 61370035-
870000-10069 Vendor#67366 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:
(Check one)New ® Renewal ❑ Amendment ❑ Effective Date 02/14/2020 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:
DocuSigned by:
Department Director'sSignat siw• 9MA Date: 3/10/2020
Agreements for emergency servic sD❑9C❑6B81844C5... 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:
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:
DocuSigned
_by:
.
Office of the Risk Management Offi aUsa LQ 6 Date: 3/10/2020
DS 7FDCF9176800498...
�7L Financial Services
This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Offic lr7NE5181ACCAN
Date: 3/12/2020
.
Legal Services
This agreement is approved as to leeal form and sufficiency:
DocuSigned by:
Office of the Count Attor 3/12/2020
y C?C5F3CDDF0B94F6
St�„ �l,yVlln, 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:
Revised 11/19 4