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DocuSign Envelope ID: F4CF91BB-74B3-4B07-9E4A-4099BF54DBE8 <br /> GEC UNTY- EPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Summit Design and Engineering Services, PLLC Party/Vendor Contact Person: Brett Smith <br /> Contact Phone: 919-732-1545 Party/Vendor Address: 504 Meadowlands Drive City Hillsborough State: NC Zip: <br /> 27278 Department: DEAPR Amount: .1,900 Purpose: Phase I Environmental Site Assessment Budget Code(s): <br /> 61370035 880000 20041 Vendor # 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New Renewal ❑ Amendment F-1 Effective Date 1/25/2016 Approved by Board <br /> Yes❑NoM Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DOCUSIgned by: <br /> Department Director's Signature sfoai� DatW'5/2016 <br /> 61 1CFAlD507A495 <br /> Information Technologies <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 /> Office of the Risk Management Office §Usa, (hnttN Date: <br /> �--7FDCF9176800498 1/26/20-16 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ,--DocuSigned by: <br /> Office of the Chief Financial Officer Date: <br /> '--7D4E5181 ACC 1409 1/31/2016 <br /> Legal Services <br /> This agreement is approved as to lewlfl id sufficiency: <br /> c <br /> igne <br /> Office of the County Attorney Date: <br /> �--EAAMKEDM8465... 2/2/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be 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 of the Clerk to the Board Date: <br /> Revised 1/16 4 <br />