Orange County NC Website
DocuSign Envelope ID: FFF212AD-9B2C-44DC-9A16-4139ED4BE770 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Environmental Solutions Group, LLC Party/Vendor Contact Person: Dan Whittaker, <br /> (dwhittaker(a^go-ese com) Contact Phone: 336-392-8526 Party/Vendor Address: 1000 N. Elm Street City <br /> Greensboro State: NC Zip: 27402 Department: AMS Amount: $25,000 Purpose: Perform Humidity Readings, <br /> Air & surface sampling at mulitple Orange County buildings for monitoring and controlling humidity and air <br /> uq alitY Budget Code(s): 61370035 870000 30018 Vendor # 65016 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 4/3/19 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 /> Qb& P/anx� 4/11/2019 <br /> Department Director's Signature[IX, 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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office kGs� �a �#f° Date a/11/zo19 <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: <br /> Office of the Chief Financial Officer e' -N "' Date:4/15/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �'�"` ° Date:4/18/2019 <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 12/18 <br />