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onnunign Envelope ID:c000uo1/+aaA4-4FeF-AocEeAsncn4n4o7r <br /> ORANGE C USE ONLY <br /> Departmenl <br /> Pany/VeuJn, Nome: Party/Vendor Contact Person: Ted L. Bartelt, PE Contact <br /> Phone: 919-9U8-0310 Pnrty/Vendnr /\dJrooy: 4601 Lake Boone Trail, Suite 3C City Raleigh State: NC Zip: <br /> 27617 Department: DEQPl Amount: 2�65.080 Purpose: Bridge Design Budget Code(s): 61370035 880000 <br /> 20032_ Vendor (N/Ai[new vendor) Vendor iou8OCCconsultant? YeoF-I No Contract Type: <br /> [� [� |� <br /> )��vv �� QouowoJ �� �n�oodomn1 �� Effective Date December 7, 2016 Approved byBoard yum <br /> L]NoM Agenda Date: <br /> _____ <br /> This agreement im approved ue/otechnical <br /> DocuSigned by: <br /> Department Director's Sigoutur D�r� <br /> —I2/I/ZOl6 <br /> (Applicable only/n6urJwurmlsoftwxra purchases or related xmvicex)This agreement has been reviewed and ia <br /> approved nato information technology content and specifications: <br /> Office oi the Chief Information Officer Dmc___�_�_ <br /> Risk MaftagLment <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> o°""mo=^^r <br /> Office of the Risk Management O0DceFaus. Du|c <br /> \--rroop,,mvov^*o I2/1/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required hythe Local Government Budget and Fiscal Control <br /> /\d: <br /> o��w"��' <br /> Office of the Chief Financial��Y�cer Date: <br /> 12/1/2016 <br /> Legal Services <br /> This agreement iu approved as to legalform and sufficiency: <br /> x���cmoYtbcoCoouhy/kttorucy ot�� <br /> ��L_- ��71��)1h <br /> s^^ ouosomm^vo <br /> Clerk to the Board <br /> Received for record retention: <br /> All D000*ign contracts must hc copied to Donna Lloyd upon comp|etioo@ <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office o[the Clerk to the Board <br /> Revised 6/16 <br /> 9 <br />