Orange County NC Website
Proposal for Geotechnical Services and Phase I ESA <br /> Orange County Jail Site <br /> Hillsborough,Orange County,North Carolina <br /> ECS Proposal Number 06:17061 <br /> PROPOSAL ACCEPTANCE FORM <br /> ECS CAROLINAS, LLP <br /> Project Name: Orange County Jail Site - Geotechnical Services & Phase I ESA <br /> Location: SE Churton & Interstate 85, Hillsborough, North Carolina <br /> Proposal No.: 06:17061 <br /> Est. Amount: Geotechnical; $4,000 Phase I ESA: 2,000 Optional Utility Survey: $1,600 <br /> Please complete and return this Proposal Acceptance Form to ECS as shown at the bottom of this form. <br /> By signing and returning this form, you are providing us with authorization to proceed, providing us <br /> permission to enter the site, and making this proposal the agreement between us. Your signature also <br /> indicates that you have read this document and the terms and conditions of service in its entirety and <br /> agree to pay for these services. <br /> Please indicate here if you would like ECS to perform Environmental Lien Research for the lump <br /> sum fee of$300 per tax parcel: Yes No <br /> CLIENT AND BILLING INFORMATION <br /> Name of Client: <br /> Contact Person: <br /> Telephone No. <br /> E-mail: <br /> Responsible for Payment Approval of Invoice(if different) <br /> Contact Name: <br /> Company Name: <br /> Address <br /> Address <br /> City, State, Zip <br /> Telephone No.: <br /> Fax No: <br /> E-mail Address: <br /> The reports are normally e-mailed directly to client. If you require copies to others, please provide their <br /> names, e-mail addresses and fax numbers below. <br /> Name e-mail Address Phone Number Fax Number <br /> Special Instructions: <br /> Private Utility Locate Services Requested (additional fee): Yes No <br /> Client Signature: 'x Date: <br /> Return to: Michael W. Fisher, P.E. Phone: 919-861-9910 <br /> ECS Carolinas, LLP Fax: 919-861-9911 <br /> 9001 Glenwood Avenue <br /> Raleigh, North Carolina 27617 <br /> 6 <br />