Orange County NC Website
DocuSign <br />ID: 03429 E5D- 85E8 -4 B59- 8796- 5E3D42360742 <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />PROPOSAL ACCEPTANCE <br />Service Initial <br />Phase I Environmental Site Assessment ($2,000.00) <br />Optional Environmental Lien and AUL Search ($250.00 per parcel) <br />PROPOSAL INFORMATION <br />ECS Proposal Number 49:7833 <br />Scope of Work Phase I Environmental Site Assessment <br />Location 524 West Hill Avenue North, 520 Orange Heights, and <br />1010 US 70 West, Hillsborough, North Carolina <br />CLIENT INFORMATION <br />Signature - Authorized <br />Representative for Entity <br />Responsible for Payment <br />Print or Type Name of Client and <br />Company <br />Date of Execution <br />Proposal Addressee - Name Jeffrey E. Thompson <br />Proposal Addressee - Company Orange County Government <br />INVOICE INFORMATION <br />Please Print or Type Below if Invoice Addressee Different Than Proposal Addressee <br />or Special Invoicing Instructions <br />Invoice Addressee - Name <br />Invoice Addressee - Company <br />Invoice Addressee - Street Address 1 <br />Invoice Addressee - Street Address 2 <br />Invoice Addressee - City, State, Zip <br />Code <br />Invoice Addressee - Email <br />Invoice Addressee - Phone Number <br />Purchase Order Number <br />Client Project /Account Number <br />Page 5 <br />EN <br />