R 2016-139-E DEAPR - ATC Associates of NC, PC for geotech services

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DocuSign Envelope ID:OAF 1 2925-8959-4001-86A5-0644A8C56FE 1 ORANGE COUNTY-DEPARTMENT USE ONLY Dei2artment Party/Vendor Name: TC Associates Of NC, PC Party/Vendor Contact Person: Robert Whitley Contact Phone: 919- 871-0999 Party/Vendor Address: 2725 E Millbrook Rd City Raleigh State: NC Zip: 27609 Department: DEAPR Amount: 998.00 Purpose: Geotech Services Budget Code(s): 61370035 880000 20027 Vendor#63516 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoO Contract Type: (Check one) New E Renewal ❑ Amendment ❑ Effective Date 12/9/15 Approved by Board Yes❑No[E Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature 1_00UN4 sfavu6L Date: 6 1 1 1CFAlD507A495 2/3/2016 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: DocuSigned by: Office of the Risk Management Officer 5&a' ('6V'l td,{f6 Date: �1-7FDCF9176800498 213120ib Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DOCUSIgned by: Office of the Chief Financial Officer E-6 xN Date: 7D4E5181 ACC 1409 2/3/2016 Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney �66' r6ufs Date: �--EAAMKEDM8465... 2/4/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ 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 10/14 4