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Revised 2/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br /> <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: $0.00 (No Change) Purpose: CEI/CMT Services Budget Code(s): PO 1800429 <br />Vendor # 60857 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) <br />New Renewal Amendment Effective Date 12/10/2018 Approved by Board Yes No Agenda <br />Date: 06/20/2017 (BOCC delegated authority for future amendments to County Manager.) <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of Risk Management_____________________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br />DocuSign Envelope ID: D413A6FD-3C88-4C78-BEEC-313DACA874A0 <br /> <br /> <br /> <br />