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DocuSign Envelope ID: B895344F-E234-49C1-832A-A33DD13A178D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Robby Hoffinan <br /> Contact Phone: 919.732.3883 Party/Vendor Address: 504 Meadowlands Drive City Hillsborough State: NC Zip: <br /> 27278 Department: AMS Amount: $6,653.00 (Change Order to increase original contract from $10,000 to <br /> $16,653.00) Purpose: Provide additional design services for the link exterior Budget Code(s): 61370035-870000- <br /> 30002 Vendor# 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ❑ Renewal ❑ Amendment ® Effective Date 12/21/18 Approved by Board Yes❑No® <br /> Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> Department Director's SignaturjP 'R Date: 12/21/2018 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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 /> Office of the Risk Management Office QGs� �a��#f° Date:12/21/2018 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P[ Act: oIXyslp <br /> Office of the Chief Financial Officer c� Date: 1/22/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney[' ° Date:1/zz/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 12/18 <br />