Orange County NC Website
DocuSign Envelope ID:34CC7277-FDAE-4FDE-B006-5BD22283431D <br /> ECS SOUTHEAST, LLP <br /> PROPOSAL ACCEPTANCE FORM <br /> ECS SOUTHEAST, LLP <br /> (Please Print or Type) <br /> Project Name: Southern Campus Expansion—Construction Material Testing <br /> Location: 2551 Homestead Road, Chapel Hill, Orange County, North Carolina <br /> Estimate: $31,542.80 <br /> Please complete and return this Proposal Acceptance Form to ECS as shown at the bottom of this form. <br /> By signing and returning this form,you are authorizing ECS to proceed, providing ECS permission to <br /> enter the site, and making this proposal the agreement between ECS and Orange County Asset Mgmt. & <br /> Purchasing. Your signature also indicates you have read this document and the Terms and Conditions of <br /> Service in their entirety and agree to pay for services as above set forth. <br /> CLIENT AND BILLING INFORMATION <br /> Name of Client: <br /> Contact Person: <br /> Telephone No. <br /> E-mail: <br /> Responsible for Payment Approval of Invoice(if different) <br /> Contact Name: <br /> Company Name: <br /> Address <br /> Address <br /> City, State,Zip <br /> Telephone No.: <br /> Fax No: <br /> E-mail Address: <br /> Reports are normally e-mailed directly to client. If you require copies to others, please provide their <br /> names, e-mail addresses, and fax numbers below. <br /> Name e-mail Address Phone Number Fax Number <br /> Special Instructions: <br /> Client Signature: X Date: <br /> Please return signed authorization to Peter Whitfield at pwhitfield@ecslimited.com or fax(919)861-9911. <br /> ECS Proposal 06:21261 E3 <br /> Page 19 <br />