Orange County NC Website
DocuSign Envelope ID:8BEB6A42-094D-454B-878B-4C7142FFC9A3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Transstate, LLC Party/Vendor Contact Person: Todd A. Reeves Contact Phone: 704-483- <br /> 1705 Party/Vendor Address: P.O. Box 545 City Denver State: NC Zip: 28037 Department: Planning and <br /> Inspections Amount: $48,375.00 Purpose: Efland Sewer Repairs Budget Code(s): 51360120-571000 Vendor # <br /> 96929 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date 04/15/2019 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 /> 4/10/2019 <br /> �Lrau� �7l n!d Cf <br /> Department Director's Signature Date: <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 /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> 10�by <br /> Qtasa 4/10/2019 <br /> Office of the Risk Management OfficeL,r�mi,�:,� Date: <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 /> 4/15/2019 <br /> Office of the Chief Financial Officer[ „ Date: <br /> Le,aal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> � x4 4/15/2019 <br /> Office of the County Attorney[v,�1F05� Date: <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 12/18 5 <br />