Orange County NC Website
Browse       Search
DocuSign Envelope ID: F6E5B15D-6611-4749-BBCF-56530F14FFBD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: S&ME Party/Vendor Contact Person: Samuel P. Watts Contact Phone: 919-872-2660 <br /> Party/Vendor Address: 3201 Spring Forest Road City Raleigh State: NC Zip: 27616 Department: DEAPR <br /> Amount: $86,500.00 Purpose: Groundwater Monitoring Well Installation at Former Hillsborough Landfill Budget <br /> Code(s). 61370035 870000 20041 Vendor 9 52307 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ <br /> No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date March 18, 2019 <br /> Approved by Board Yes❑No® 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 /> DocuSigned by: <br /> Department Director's Signature 0011, SfOU61L Date:3/6/2019 <br /> Agreements for emergency services or repair are n e11CFA1D507A495. te 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 /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer &A cbm_t,{f6 Date: 3/7/2019 <br /> 7FDCF917E800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer s�gx.wra _ Date:3/11/2019 <br /> 7NE5181ACC1409. <br /> Le221 Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney 1328DC4H54eA4F5. <br /> t.S aU' Date:3/11/2019. <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 /> Office of the Clerk to the Board Date: <br /> Revised 12118 <br /> 9 <br />