HomeMy WebLinkAboutR 2020-193 AMS - Summit Parking deck design DocuSign Envelope ID: 1377763D-11F6-48F1-9874-31394A81330810
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Summit Design and Engineering Services PLLC Party/Vendor Contact Person: Wes Tam
PE Contact Phone: 919.322.0115 Party/Vendor Address: 1110 Navaho Drive, Suite 600 City Raleigh State: NC
Zip: 27609 Department: AMS Amount: $14,760 Purpose: To complete items 5-10 as per attached contract dated
02/19/2020 Budget Code(s): 61370035-870000-30029 Vendor#53403 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
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:
�DLocu''S..igned by:
Department Director's Signature12DD9CD6B81844C5
ri- QY► A Date 2/25/2020
..
Agreements for emergency services ur mpair A1C uM Nuuject 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 sufficienc- -oocuSgnea 6y:`- A-rds,specifications,and requirements:
aUsa LQ 6 2/27/2020
Office of the Risk Management Office Date:
7F6CF9178800495...
Financial Services
°S This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
4 . 3/2/2020
Office of the Chief Financial Officer Date:
704E59S1ACC1409...
Legal Services
This agreement is approved as t O�"USIigned by: ;iency:
hm
Office of the County Attorney 4 r � Date: 3/12/2020
C5F3CDDF0694F8...
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
9
DocuSign Envelope ID: 13777B3D-11F6-48F1-9874-31394A81330810
Revised 11/19
10