Orange County NC Website
DocuSign Envelope ID:43BC3559-D91A-4B1A-B346-85B1DDC1A451 <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 /> 217-3609 Party/Vendor Address: 1240 19th Street, Lane NW City Hickory State: NC Zip: 28603 Department: <br /> Planning and Inspections Amount: 253,416.00 Purpose: CEI/CMT Services Budget Code(s): 34600020-880010- <br /> 30044 Vendor# 60857 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 06/20/2017 Approved by Board Yes No <br /> ❑ Agenda Date: 06/20/2017 <br /> This agreement is approved as to technical form and content: <br /> r—DOCUSigned by: 7/7/2017 <br /> Department Director's Signature �mo LJ� t UU Date: <br /> `—846D1ODA3CFD4C2... <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 /> DocuSigned by: <br /> QtiSa Cbi1A-uf 7/10/2017 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: rpocuSigned by: <br /> ( a2 �on �,L 7/10/2017 <br /> Office of the Chief Financial Officer 7D Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> E—Deecsigned by: 7/11/2017 <br /> Office of the County Attorney iawtt,S fxruA, Date: <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 @orangecountync.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 2/17 rev6/17 staff request 9 <br />