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DocuSign Envelope ID:2EB3A06B-5524-4E21-B639-AFB110FDD324 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Boomerang Design, PA Party/Vendor Contact Person: Angela Crawford Easterday <br /> (ACrawford(&thinkboomerang com) Contact Phone: 919-573-6403 Party/Vendor Address: 6131 Falls of Neuse <br /> Road, Ste 204 City Raleigh State: NC Zip: 27609 Department: AMS/Emergency Services Amount: Ordinal <br /> Contract Amount$25,000+Amendment 1 Amount$30,000=Total NTE$55,000 Purpose:Provide design services <br /> for emergency services remediation and reconstruction Budget Code(s): 61370035 870000 10068 Vendor# 61974 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal ❑ Amendment ® Effective Date Approved by Board Yes® No❑ Agenda Date: <br /> February 5,2019 <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 Signature ""I� " S Date: 3/4/2019 <br /> Cs <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: N/A <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 Qt s� �e���#f° Date: 3/4/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> 1 p[ Act: <br /> Office of the Chief Financial Officers Date:3/5/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �'�"" ��° Date:3/5/2019 <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 />