Orange County NC Website
DocuSign Envelope ID: 3B7FF6D8-761B-4C88-A691-9E7C554A969C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ECS Carolinas,LLP Party/Vendor Contact Person: Matthew B. Olsen Contact Phone: 919-891- <br /> 9910 Party/Vendor Address: 9001 Glenwood Avenue City Raleigh State: NC Zip: 27617 Department: AMS <br /> Amount: $8900 Purpose: Geotechnical Services and Phase I Environmental Site Assessment (ESA), proposal 06- <br /> 19464-19465, for Environmental and Agriculture Center, 306 Revere Road, in Hillsborough. NC. Budget Code(s): <br /> 61370035-870000-10020 Vendor # 56914 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ Nor-1 <br /> Contract Type: (Check one) New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes <br /> ❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Fi;uSi gned by:Department Director's Signature �O"`�'�°'' Date: 1/26/2016 <br /> 9E880A46CF64498... <br /> Information Technolosies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned""by: <br /> ''11i1 <br /> Office of the Risk Management Officer rausa, (,6rvu,�16 Date: 1/27/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the mequged by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7� Date:1/27/2016 <br /> Legal Services <br /> This agreement is approved as to legal form al Sfficije1ncy: <br /> igney: L,Office of the County Attorney 56,ocu <br /> U In, r6 v¢s Date: 1/29/2016 <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 1/16 4 <br />