HomeMy WebLinkAboutR 2020-251 AMS - Boomerang Design CGCC septic line replacement DocuSign Envelope ID:8C9741 F7-7393-4B78-9DF3-BFBF6EBAAB53
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Boomerang Design, P.A. Party/Vendor Contact Person: Angie Crawford Easterday
(acrawford(a)thinkboomerang com) Contact Phone: 919.573.6403 Party/Vendor Address: 6131 Falls of the Neuse
Road, Ste 204 City Raleigh State: NC Zip: 27609 Department: AMS Amount: $15,250.00 Purpose: CGCC
Septic Line Repair Budget Code(s): 61370035-880000-10075 Vendor#61974 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective
Date 4/5/2020 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 Signature Date:4/2/2020
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 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 Office QGs�,bn1t f° Date:4/3/2020
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
P� Act: oIXu
Office of the Chief Financial Officer[ Date: 4/9/2020
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney � +++u Date:4/9/2020
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
9
DocuSign Envelope ID:8C9741F7-7393-4B78-9DF3-BFBF6EBAAB53
Revised 11/19
10