Orange County NC Website
Browse       Search
DocuSign Envelope ID: D05E7C87-7E1A-4F8B-85D1-BE354B9909E3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: McGill Associates Party/Vendor Contact Person: Doug Chapman, PE Contact Phone: 828- <br /> 21'7-3609 Party/Vendor Address: 1240 191' Street, Lane NW City Hickory State: NC Zip: 28603 Department: <br /> Planning & Inspections Amount: $71,295.00 Purpose: Land Surveying (limited), Design Engineering <br /> (Bid/Construction Documents Completion), Legal Plat Revisions, Estimating, and Bidding Services Budget <br /> Code(s): 34600020-870000-30044 Vendor#60857 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/17/2016 Approved <br /> by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSignetl by: <br /> Department Director's Signature E�W� b0A�,1d- Date: 10/17/2016 <br /> Z— <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 /> D Sg tlby: <br /> Office of the Risk Management Officer E llSX Cbinn. 6 Date: 10/17/2016 <br /> ;,DC <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> D S g tl by: <br /> �a>r�� <br /> 10/17/2016 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSignetl by: <br /> S t, br aJA <br /> Office of the County Attorney M � Date: 10/17/2016 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecount,nc.gov <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 6/16 <br /> 10 <br />