R 2017-233-E Planning - Transstate LLC to clean, video Phase 4 of Efland Sewer System

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DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Transstate LLC Party/Vendor Contact Person: Todd A Reeves Contact Phone: 704-483- 1705 Party/Vendor Address: PO Box 545 City Denver State: NC Zip: 28037 Department: Planning and Inspections Amount: $15,960.00 Purpose: Cleaning and Videoing Phase 4 of the Efland Sewer System Budget Code(s): 51360120-571000 Vendor#96929 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date June 14, 2017 Approved by Board Yes NoZ Agenda Date: This agreement is approved as to to 'aadup, ,¢. ipd content: AX- Department Director's Signature (f ail v btith Date: 6/12/2017 846D 10DA3CFD4C2... 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:'ll Office of the Risk Management Office auSa (,bvwc tl6 Date: 6/12/2017 7FDCF9176800498... 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 Office (1'p `44"1°6'"1" Date: 6/15/2017 7D4E5181 ACC1409... Legal Services This agreement is approved as to lealsforemd by sufficiency: Office of the County Attorne b CrblitXtS Date:6/20/2017 EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov 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 2/17 9