R 2016-456-E DEAPR - Summit Design and Engineering Services for construction materials testing

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DocuSign Envelope ID:4236F103-A2894D68-B8BO-1B6COD115E45 ORANGE COUNTY—DEPARTMENT U NLY Department Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Jeff Elliott Contact Phone: 919-732-3883 Party/Vendor Address: 504 Meadowland Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: $8,365 Purpose: Construction Materials Testing Budget Code(s): 61370035 880000 20041 Vendor# 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to techn�coaljo remand content: Department Director's Signatur yaw.� S`1 at'a Date: qp, 611CFA1 D507A495._ 8�13 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: Docu5igned""by: ''��.�.. Office of the Risk Management Office &a, r,Orv�c,116 Date 7FDCF9176800498... Financial Services This instrument has been pre-audited in the Tanner Sr V.uired by the Local Government Budget and Fiscal Control Act: gne Office of the Chief Financial Officer Fr" `�°'�" �°'L Date: p y� y� q 7D4E5181ACC1409... 8 15/�G�-16 Legal Services This agreement is approved as to legal gal forgmdaYd sufficiency: Office of the County Attorney ,6 , r6ufs Date: EAAMKEDM8465... 8/17/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ ll c 99�ayr,��Jo�ctrti„g count_�r�' ryay 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 6/16 5