R 2016-608-E AMS - T.A. Loving Company for Sportsplex Field House pre-construction services

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DocuSign Envelope ID:826509CF-ED5F-4F89-AE19-18F10AF97036 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: T.A. Loving Company Party/Vendor Contact Person: David Philyaw Contact Phone: 919- 734-8400 Party/Vendor Address: P.O. Box 919 City Goldsboro State: NC Zip: 27533 Department: AMS Amount: $45,000 Purpose: Sportsplex Field House Pre-Construction Services Budget Code(s): 5353-0030-880000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/31/2016 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content: H signed by: Department Director's Signature Date: 10/30/2016 /{II6..F6S45... 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: FllUsa (,awu b D s'g d by: Office of the Risk Management Officer_ Date: 10/31/2016 '9`FDCFg 1968.0#98... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: D.-Signed by: Office of the Chief Financial Officer Date: 10/31/2016 — Legal Services This agreement is approved as to legal form and sufficiency: D s'g d by: Office of the County Attorney ° pbt,vfs Date: 10/31/2016 -EA M33EDM8465... Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecoupiync.gov The following signature block is for hard copies only and is not required for Docusign contracts: E Office of the Clerk to the Board Date: j I Revised 6/16 9