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000uSign Envelope ID: oo5137o8eFo4-4on2 oEo7-5o14nAEeoosA <br /> ORANGE C USE ONLY <br /> RMMtmen1 <br /> 9arty/VoodcvNamc: Summit Design and Engineering Services, PLLC Party/Vendor Contact Person: Brantley Wells <br /> Contact Phone: Party/Vendor Address: 504 Meadowland Drive City Hillsborough State: NC Zip: <br /> 27278 Department: DUEAPR Amount: 3,250 Purpose: Topo and Tree Survey Work Budget Code(s): 61370035 <br /> 880000 20041 Vendor# 53403 /A if new vendor) Vendor is u8OCC consultant? Yes [l No[:] Contract <br /> (Check one) New Z Runcvvul E] Amendment E] Effective Date 9/I1/2015 Approved hyBoard YoaEl NoZ <br /> Agenda Date: <br /> _____ <br /> This agreement is approved uxto technical form and content: <br /> n"""nw""ouv. <br /> Department Director's Siguoour Date: <br /> \^_61 1cF^,o507/w95- �97I572015 <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is <br /> approved uoto information technology content and apuoifivatiooa: <br /> Office oY the Chief Information Officer Date:_______ <br /> Risk Management <br /> This agreement ia approved for sufficiency of insurance standards, apeoifiuo1ionu,and requirements: <br /> n"""nw""ouv. <br /> Office uf the Risk Management ODDcm Da1e: <br /> l\^—/Focm,r00004nn' 9/15/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> nw""ouv. <br /> ���Ocmuf the v�hief Fivauoiu|��fOo Date:CrEj pnuc "+,a 9716727�5 <br /> Legal Services <br /> This agreement is approved um1olegal form and sufficiency: <br /> by- <br /> Office of the County Attoro u(c: <br /> [JFAA3D33ED8A8465 9/15/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docuoi8n contracts must 6r copied to Donna Lloyd upon completion @ <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office uf the Clerk to the Board utm:________ <br /> Revised 10/14 <br />